Talbot, Amanda Lavigne

Talbot, Amanda Lavigne is an individual health care provider with primary practice located at 4242 Highway 19 Ste C , Zachary LA 70791-3981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Talbot, Amanda Lavigne can be contacted via phone (225) 654-6140.

Contact Information

Primary practice address
4242 Highway 19 Ste C Zachary LA 70791-3981
Fax: (225) 654-6122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 202028 Louisiana

Profile Details

NPI number 1245448208
LBN Legal business name Talbot, Amanda Lavigne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated May 5th, 2021 - about 5 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 1245448208 NPPES
Louisiana MEDICAID 1170771

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