Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 204725 | LA |
Y | 111NI0900X | Internist | 204725 | LA |
NPI | 1003133117 |
---|---|
Provider Name | Rebecca Saale Treuil |
First Address | Baton Rouge, LA 70808-4326 |
Second Address | Baton Rouge, LA 70808-4326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2010 |
Last Update Date | 28/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204725 | STATE LICENSE (01) | LA |