Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 023856 | LA |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 023856 | LA |
NPI | 1568451862 |
---|---|
Provider Name | Mrs. Patricia E Scallan |
First Address | Baton Rouge, LA 70810-7827 |
Second Address | Baton Rouge, LA 70810-7827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 27/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1485705 | (05) | LA |
G99299 | (02) | LA |