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Sandra F Defelice, PA
Surgical Physician Assistant in Baton Rouge, Louisiana
NPI 1750370870

Sandra F Defelice is a Surgical Physician Assistant based in Baton Rouge, LA and is specialized in Surgical. Sandra F Defelice practices in Baton Rouge, LA and has the professional credentials of PA. The NPI Number for Sandra F Defelice is 1750370870 and holds a License No. A20094 (Louisiana).

The current practice location address for Sandra F Defelice is 10101 Park Rowe Ave, Baton Rouge, LA and can be reached out via phone at 225-769-2200 and via fax at 225-768-2185.

Location: 10101 Park Rowe Ave, Baton Rouge, LA, 70884-9509
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Provider Profile Details
NPI Number
1750370870
Provider Name
Sandra F Defelice
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
10101 Park Rowe Ave, Baton Rouge, LA, 70884-9509
Phone Number
225-769-2200
Fax Number
225-768-2185
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1625850 05 LA
institution
Provider Business Practice Location Address Details
Address
10101 Park Rowe Ave
City
State
Zip
70810-1686
Phone Number
225-769-2200
Fax Number
225-768-2185
person
Provider Business Mailing Address Details
Address
10101 Park Rowe Ave
City
State
Zip
70810-1686
Phone Number
225-769-2200
Fax Number
225-768-2185
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
A20094 (Louisiana)
Definition
Definition to come...
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