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Ryan Boudreau
Student in an Organized Health Care Education/Training Program in Baton Rouge, Louisiana
NPI 1770902074

Ryan Boudreau is a Student in an Organized Health Care Education/Training Program based in Baton Rouge, LA. Ryan Boudreau practices in Baton Rouge, LA. The NPI Number for Ryan Boudreau is 1770902074 and holds a License No. 326368 (Louisiana).

The current practice location address for Ryan Boudreau is 7777 Hennessy Blvd Ste 102, Baton Rouge, LA and can be reached out via phone at 225-765-2048 and via fax at 225-765-1958.

Location: 7777 Hennessy Blvd Ste 102, Baton Rouge, LA, 70816-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770902074
Provider Name
Ryan Boudreau
Credential
Provider Entity Type
Individual
Gender
Male
Address
7777 Hennessy Blvd Ste 102, Baton Rouge, LA, 70816-6038
Phone Number
225-765-2048
Fax Number
225-765-1958
Provider Enumeration Date
04/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
326368 01 LA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
7777 Hennessy Blvd Ste 102
City
Baton Rouge
State
Louisiana
Zip
70808-4363
Phone Number
225-765-2048
Fax Number
225-765-1958
person
Provider Business Mailing Address Details
Address
7777 Hennessy Blvd Ste 102
City
Baton Rouge
State
Louisiana
Zip
70808-4363
Phone Number
225-765-2048
Fax Number
225-765-1958
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
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Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
326368 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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