Organization
CHILD AND ADOLESCENT CLINIC OF CROWLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. S. SANGEETA KRISHEN M.D. (OWNER/PHYSICIAN)
(337) 783-6857
Entity
Organization
Contact information
Practice address
1307 CROWLEY RAYNE HWY, SUITE B, CROWLEY, LA 70526-8210
(337) 783-6857
(337) 783-6167
Mailing address
1307 CROWLEY RAYNE HWY, SUITE B, CROWLEY, LA 70526-8210
(337) 783-6857
(337) 783-6167
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD02295
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1693197
—
LA
Enumeration date
06/25/2008
Last updated
06/25/2008
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