Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 012764 | LA |
NPI | 1003815911 |
---|---|
Provider Name | Dr. Patricia M Schneider |
First Address | Saint Francisville, LA 70775-1219 |
Second Address | Saint Francisville, LA 70775 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 23/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1168572 | (05) | LA |