Search › Louisiana › 163WG0000X
Dosha Banguel
NPI 1528669306 · on the registry since 2020 · sole proprietor
Practice
- Address
- 11758 S Harrells Ferry Rd Ste B
Baton Rouge, LA 70816 - Phone
- (225) 428-6614
- Organisation at this address
- Autumn Lake Llc
Autumn Lake Llc
Autumn Lake Llc
Autumn Lake Llc
Autumn Lake LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-28
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