Leah Pace, | |
12483 Hooper Rd, Baton Rouge, LA 70818-3508 | |
(352) 238-7448 | |
Not Available |
Full Name | Leah Pace |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 12483 Hooper Rd, 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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1811676943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN155509 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 234039 (Louisiana) | Primary |
Entity Name | Diversified Professionals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700923992 PECOS PAC ID: 0446356463 Enrollment ID: O20070507000647 |
Mailing Address | Practice Location Address |
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Leah Pace, 12483 Hooper Rd, Baton Rouge, LA 70818-3508 Ph: () - | Leah Pace, 12483 Hooper Rd, Baton Rouge, LA 70818-3508 Ph: (352) 238-7448 |
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