Most Relevant Information
Provider Data
| NPI Number: | 1003596206 |
| Provider Name: | MEGAN MCCOY DALE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 230205 |
Most Important Dates
| Enumeration Date: | 07/21/2023 |
| Last Updated: | 07/21/2023 |
Provider Practice Location
12902 PLANK RD
BAKER
LA
707144911
Practice Location Phone/Fax
| Phone: | 2257740733 |
| Fax: | 2257747777 |
Provider Mailing Location
12902 PLANK RD
BAKER
LA
707144911
Provider Mailing Phone/Fax
| Phone: | 2257740733 |
| Fax: | 2257747777 |