Provider Demographics
NPI:1255584652
Name:BATON ROUGE OBSTETRICAL & GYNCOLOGY ASSOC, INC
Entity type:Organization
Organization Name:BATON ROUGE OBSTETRICAL & GYNCOLOGY ASSOC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:LUNKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-929-7070
Mailing Address - Street 1:673 E AIRPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6517
Mailing Address - Country:US
Mailing Address - Phone:225-929-7070
Mailing Address - Fax:225-923-1409
Practice Address - Street 1:673 E AIRPORT AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6517
Practice Address - Country:US
Practice Address - Phone:225-929-7070
Practice Address - Fax:225-923-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty