Annalise R Bricca, MD
Student in an Organized Health Care Education/Training Program in Lake Charles, LA. Individual provider (NPI-1).
NPI number1205686367
StatusActive
Last updated in NPPESMar 22, 2024
Details
- NPI
- 1205686367
- Entity type
- Individual (NPI-1)
- Name
- Annalise R Bricca
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2024
- Certification date
- Mar 22, 2024
- Last updated
- Mar 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1525 Oak Park BlvdLake Charles, LA 70601-8849
Phone 337-494-2023
Mailing address
1525 Oak Park BlvdLake Charles, LA 70601-8849
Phone 337-494-2023
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