Basic Information
Provider Information
NPI: 1912284506
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: METZ
FirstName: RACHEL
MiddleName: LYNN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5000 HENNESSY BLVD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708084375
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5000 HENNESSY BLVD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708084375
CountryCode: US
TelephoneNumber: 2257657163
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/09/2011
LastUpdateDate: 09/20/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XP1362TXY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD.206149LAN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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