| Organization Name: | LOUISIANA INCONCTINENCE CONSULTANTS |
| NPI Number: | 1447485412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICKEY ROSS DUOS (OWNER) |
| Mailing Address: | 2200 Green Valley Rd Ville Platte |
| State: | LA US |
| Postal Code: | 705867462 |
| Phone Number: | 3373494836 |
| Fax Number: | 3375062010 |
| NPI Enumeration Date: | 05/20/2009 |
| NPI Last Update Date: | 05/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP05285 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |