Provider Demographics
NPI:1750575890
Name:ROBICHEAUX METOYER, ROCHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:
Last Name:ROBICHEAUX METOYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROCHELLE
Other - Middle Name:A
Other - Last Name:ROBICHEAUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1200 S FARMERVILLE ST
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-5941
Mailing Address - Country:US
Mailing Address - Phone:318-255-3690
Mailing Address - Fax:318-251-6116
Practice Address - Street 1:1200 S FARMERVILLE ST
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-5941
Practice Address - Country:US
Practice Address - Phone:318-255-3690
Practice Address - Fax:318-251-6116
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.200719207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02778886Medicaid
LA1067695Medicaid
LA4K8097061Medicare PIN
LA4P1627061Medicare PIN