Individual
MARK AYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 HENNESSY BLVD STE 102, BATON ROUGE, LA 70808-4363
(225) 765-2048
(225) 765-9100
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 926-6565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048015
STATE NARCOTICS LICENSE
LA
01
—
200889
STATE LICENSE
LA
05
—
2409611
—
LA
Enumeration date
08/20/2015
Last updated
03/07/2023
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