| Karen C. Dantin Md Medical Clinic Llc | |
|
15049 Florida Blvd Baton Rouge LA 70819-2602 | |
| (225) 218-0159 | |
| (225) 218-1233 |
| Full Name | Karen C. Dantin Md Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15049 Florida Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Karen Dantin (DOCTOR) |
| Authorized Official Contact | 2252180159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen C. Dantin Md Medical Clinic Llc 15049 Florida Blvd Baton Rouge LA 70819-2602 Ph: (225) 218-0159 | Karen C. Dantin Md Medical Clinic Llc 15049 Florida Blvd Baton Rouge LA 70819-2602 Ph: (225) 218-0159 |
| NPI Number | 1487166815 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 07/08/2021 |
| Medicare PECOS PAC ID | 8729310768 |
|---|---|
| Medicare Enrollment ID | O20191024001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487166815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017815 (Louisiana) | Primary |
| Provider Name | Karen C Dantin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831153634 PECOS PAC ID: 4688833957 Enrollment ID: I20191028000544 |
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