Provider First Line Business Practice Location Address:
5246 BRITTANY DRIVE
Provider Second Line Business Practice Location Address:
LSU INTERNAL MEDICINE RESIDENCY BATON ROUGE
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-757-4070
Provider Business Practice Location Address Fax Number:
225-757-4100
Provider Enumeration Date:
05/03/2016