Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 06013R | LA |
NPI | 1144282724 |
---|---|
Provider Name | Dr. Rosaire Josseline Belizaire |
First Address | Lafayette, LA 70508 |
Second Address | Lafayette, LA 70503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 08/07/2007 |