Provider Demographics
NPI:1740415652
Name:TUREGANO, MAMINA (MD)
Entity Type:Individual
Prefix:
First Name:MAMINA
Middle Name:
Last Name:TUREGANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6411 PERKINS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4125
Mailing Address - Country:US
Mailing Address - Phone:225-303-9500
Mailing Address - Fax:225-303-9501
Practice Address - Street 1:6411 PERKINS RD STE 100
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-303-9500
Practice Address - Fax:225-303-9501
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.014095207N00000X
VA0101255810207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology