person
Miss Tara Lynn Rheubottom, PA
Medical Physician Assistant in Baton Rouge, Louisiana
NPI 1134118466

Tara Lynn Rheubottom is a Medical Physician Assistant based in Baton Rouge, LA and is specialized in Medical. Tara Lynn Rheubottom practices in Baton Rouge, LA and has the professional credentials of PA. The NPI Number for Tara Lynn Rheubottom is 1134118466 and holds a License No. PA.A10517 (Louisiana).

The current practice location address for Tara Lynn Rheubottom is 10154 Jefferson Hwy, Baton Rouge, LA and can be reached out via phone at 225-927-5663 and via fax at 225-928-7341.

Location: 10154 Jefferson Hwy, Baton Rouge, LA, 70809-2725
person
Provider Profile Details
NPI Number
1134118466
Provider Name
Tara Lynn Rheubottom
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
10154 Jefferson Hwy, Baton Rouge, LA, 70809-2725
Phone Number
225-927-5663
Fax Number
225-928-7341
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10154 Jefferson Hwy
City
State
Zip
70809-2725
Phone Number
225-927-5663
Fax Number
225-928-7341
person
Provider Business Mailing Address Details
Address
10154 Jefferson Hwy
City
State
Zip
70809-2725
Phone Number
225-927-5663
Fax Number
225-928-7341
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.A10517 (Louisiana)
Definition
Definition to come...
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