Most Relevant Information
Provider Data
| NPI Number: | 1003371527 |
| Provider Name: | REAGAN CLAIRE SKIDMORE LAT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/08/2019 |
| Last Updated: | 08/13/2021 |
Provider Practice Location
800 GALLOWAY DRIVE
HAMMOND
LA
704023339
Practice Location Phone/Fax
| Phone: | 9855495133 |
| Fax: |
Provider Mailing Location
17017 CULPS BLUFF AVE
BATON ROUGE
LA
708173339
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |