Doctor Name: | MARIAN LORRAINE BELLECCI |
NPI Number: | 1568565083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 014139 |
Business Practice Address: | 3333 Drusilla Ln Suite A Baton Rouge, LA - 708092418 |
Business Phone Number: | 2259243906 |
Business Fax Number: | 2259243906 |
Mailing Address: | 207 Westmark Blvd, LAFAYETTE |
State: | LA |
Postal Code: | 705067365 |
Phone Number: | 3379816811 |
Fax Number: | 3379812024 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 02/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 014139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |