Bacuta-Tagorda, Luisa C

Bacuta-Tagorda, Luisa C is an sole proprietor health care provider with primary practice located at 110 Acadia Drive , Raceland LA 70394. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bacuta-Tagorda, Luisa C can be contacted via phone (985) 537-8687.

Contact Information

Primary practice address
110 Acadia Drive Raceland LA 70394
Phone: (985) 537-8687
Fax: (985) 537-8976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-08233R Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 08233R Louisiana

Profile Details

NPI number 1285650200
LBN Legal business name Bacuta-Tagorda, Luisa C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Mar 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285650200 NPPES
Louisiana MEDICAID 1394599

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