Organization
LON M BARONNE DPM BARONNE FOOT CENTER
Active
Other names
Baronne Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA KOLDER (OFFICE MANAGER)
(337) 942-7567
Entity
Organization
Contact information
Practice address
2848 S UNION ST, OPELOUSAS, LA 70570-5738
(337) 948-7567
(337) 948-4993
Mailing address
PO BOX 159, OPELOUSAS, LA 70571-0159
(337) 942-7567
(337) 948-4993
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021831
—
LA
Enumeration date
11/01/2006
Last updated
04/26/2019
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