Search › Louisiana › 101Y00000X
Ladetrick Provo
NPI 1184155731 · on the registry since 2017
Practice
- Address
- 5476 Summer Dr
Baton Rouge, LA 70812 - Phone
- (225) 333-7899
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2017-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana