Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 019532 | LA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 019532 | LA |
NPI | 1003837022 |
---|---|
Provider Name | Neva Ducote Seago |
First Address | Lafayette, LA 70503-3852 |
Second Address | Lafayette, LA 70508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2006 |
Last Update Date | 17/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00121240 | (05) | MS |
1665002 | (05) | LA |
G06422 | (02) |