Basic Information
| Provider Information | |||||||||
| NPI: | 1912910217 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LALONDE | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | JOHN | ||||||||
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| Credential: | LOTR CHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8448 SIEGEN LN | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708101938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257570164 | ||||||||
| FaxNumber: | 2257678757 | ||||||||
| Practice Location | |||||||||
| Address1: | 8448 SIEGEN LN | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708101938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257570164 | ||||||||
| FaxNumber: | 2257678757 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2006 | ||||||||
| LastUpdateDate: | 07/21/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 211178 | LA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.