Provider Demographics
NPI:1659841401
Name:DUNN, CLEOPATRA
Entity Type:Individual
Prefix:
First Name:CLEOPATRA
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7171 AIRLINE HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-5524
Mailing Address - Country:US
Mailing Address - Phone:225-303-3973
Mailing Address - Fax:
Practice Address - Street 1:7171 AIRLINE HWY STE 3
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-5524
Practice Address - Country:US
Practice Address - Phone:225-303-3973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver