Individual
PETER BRIAN CRAPANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BEACON HEALING & WELLNESS, LLC, 671 RIVER HIGHLANDS BLVD., SUITE 8, COVINGTON, LA 70433
(985) 624-2942
(985) 888-1120
Mailing address
8901 CHRETIEN POINT PL, RIVER RIDGE, LA 70123-2714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.09780R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689475
—
LA
Enumeration date
02/14/2008
Last updated
05/20/2022
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