BRYAN KEITH MELANCON

BATON ROUGE, LA
NPI1922005206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  87222-4549)
Enumeration Date2005-07-01
Last Update Date2018-06-19
Business Address
BRYAN KEITH MELANCON NP
8585 PICARDY AVE
BATON ROUGE, LA 70809
Phone number: 225-763-4764
Mailing Address
BRYAN KEITH MELANCON NP
8585 PICARDY AVE
BATON ROUGE, LA 70809-3748
Phone number: 225-763-4764