Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | LA |
NPI | 1033321518 |
---|---|
Provider Name | Ms. Victoria Lee Skold |
First Address | Lake Charles, LA 70605 |
Second Address | Lake Charles, LA 70605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |