Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 020586 | LA |
NPI | 1124060157 |
---|---|
Provider Name | Dr. Melinda Marie Frantz |
First Address | Baton Rouge, LA 70808-1556 |
Second Address | Baton Rouge, LA 70809-3748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 13/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G14874 | (02) | LA |