Beth S Percle, MS, RD, LDN | |
6045 Shakespeare Dr, Baton Rouge, LA 70817-2918 | |
(985) 413-3312 | |
Not Available |
Full Name | Beth S Percle |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 6045 Shakespeare Dr, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093484404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86035042 (Louisiana) | Secondary |
133V00000X | Dietitian, Registered | 2922 (Louisiana) | Primary |
Provider Name | Our Lady Of The Lake Physician Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
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Beth S Percle, MS, RD, LDN 6045 Shakespeare Dr, Baton Rouge, LA 70817-2918 Ph: (985) 413-3312 | Beth S Percle, MS, RD, LDN 6045 Shakespeare Dr, Baton Rouge, LA 70817-2918 Ph: (985) 413-3312 |
Erin King, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10343 Siegen Ln, Baton Rouge, LA 70810 Phone: 225-767-4440 | |
Brandie Marie Faucheux, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10310 The Grove Blvd, Baton Rouge, LA 70836 Phone: 225-761-5200 | |
Rebecca Kusch, MS, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 8200 Constantin Blvd Fl 3, Baton Rouge, LA 70809 Phone: 225-765-5500 Fax: 225-374-1698 | |
Mrs. Kizzy Turner Broaden, LDN,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6400 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-330-0497 Fax: 225-330-0498 | |
Meghan Elizabeth Moholland, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 904-994-3296 | |
Zannah Richard, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2333 Government St, Baton Rouge, LA 70806 Phone: 337-247-5477 | |
Victoria Harris, MS, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 6400 Perkins Rd Bldg D 1st Floor, Baton Rouge, LA 70808 Phone: 225-330-0497 Fax: 225-330-0498 |