Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 24539 | LA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 24539 | LA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 9959 | TX |
NPI | 1467516567 |
---|---|
Provider Name | Dr. Meredith Ann Warner |
First Address | Baton Rouge, LA 70817-6200 |
Second Address | Baton Rouge, LA 70817-6200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 29/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1556491 | (05) | LA |
274108YPYP | MEDICARE PTAN (01) | LA |
6813110001 | DME POS PTAN (01) | LA |
PO1336783 | RAILROAD MEDICARE PTAN (01) | LA |