| Post Trauma Institute Of Louisiana | |
|
10512 S Glenstone Pl Baton Rouge LA 70810-2966 | |
| (225) 751-5412 | |
| (225) 751-5847 |
| Full Name | Post Trauma Institute Of Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 10512 S Glenstone Pl, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Lawrence Sullivan Salone (FOUNDER) |
| Authorized Official Contact | 2257515412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Post Trauma Institute Of Louisiana Po Box 83814 Baton Rouge LA 70884-3814 Ph: (225) 751-5412 | Post Trauma Institute Of Louisiana 10512 S Glenstone Pl Baton Rouge LA 70810-2966 Ph: (225) 751-5412 |
| NPI Number | 1588910947 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Medicare PECOS PAC ID | 7012161235 |
|---|---|
| Medicare Enrollment ID | O20140106000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588910947 | NPI | - | NPPES |
| 2385372 | Medicaid | LA |
| Provider Name | Marjorie N Person |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982894630 PECOS PAC ID: 3577617034 Enrollment ID: I20090818000404 |
| Provider Name | Andrea Plauche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518278589 PECOS PAC ID: 4082843453 Enrollment ID: I20140205000248 |
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