Individual
MRS. TARA DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9099 LAKE MIST DR, BATON ROUGE, LA 70810
(504) 214-6266
Mailing address
9099 LAKE MIST DR, BATON ROUGE, LA 70810-0356
(504) 214-6266
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.305218
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
05/30/2018
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