SearchLouisiana101YM0800X

Trenton Green, MA

NPI 1811687726 · on the registry since 2023

Practice

Address
803 Brisco Ave
Bastrop, LA 71220
Phone
(318) 283-3299
Fax
(318) 283-3298
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-31

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