Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 9785244-8905 | UT |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 9785244-8905 | UT |
NPI | 1295025138 |
---|---|
Provider Name | Julie Ann Neumann |
First Address | Baton Rouge, LA 70898-9035 |
Second Address | Baton Rouge, LA 70808-4794 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2011 |
Last Update Date | 11/10/2018 |