Individual
CARA MICCOLI PERMENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAIGNAPPE MEDICAL CLINIC, 817 SHEPPARD ST, MINDEN, LA 71055
(318) 371-3838
(318) 371-3839
Mailing address
LAIGNAPPE MEDICAL CLINIC, 817 SHEPPARD ST, MINDEN, LA 71055
(318) 371-3838
(318) 371-3839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
312349
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442457
—
LA
Enumeration date
03/18/2017
Last updated
01/16/2025
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