NPI 1538673694
Advanced Pain Management, LLC
Practice location
- Address
- 6536 Lasalle Ave, Baton Rouge, LA 70806-7318
- Phone
- (318) 278-4292
Authorised official
- Name
- Kelly Eaton Boussert
- Title
- Member
- Phone
- (318) 278-4292
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1538673694
- Entity type
- Organization
- NPI issued
- 28 Nov 2017
- Record last updated
- 28 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.