Individual
PAUL WAYNE PICCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16777 MEDICAL CENTER DR, SUITE 300, BATON ROUGE, LA 70816-3254
(225) 751-6666
(225) 751-6680
Mailing address
16777 MEDICAL CENTER DR, SUITE 300, BATON ROUGE, LA 70816-3254
(225) 751-6666
(225) 751-6680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.A10419.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33774
CDS
LA
Enumeration date
01/17/2007
Last updated
03/07/2023
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