Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 323809 | LA |
Y | 2080P0210X | Pediatric Nephrologist | 323809 | LA |
NPI | 1184035362 |
---|---|
Provider Name | Ashley Rawson |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Baton Rouge, LA 70809-3481 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2014 |
Last Update Date | 27/05/2021 |