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Amy Theobald
NPI 1265877450 · on the registry since 2013
Practice
- Address
- 280 Lloyd Lewis
Grand Coteau, LA 70541 - Phone
- (337) 356-6006
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 222Q00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-11-18
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