Provider Demographics
NPI:1053607267
Name:MARINO, FRANCESCA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:FRANCESCA
Middle Name:MARIE
Last Name:MARINO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:FRANCESCA
Other - Middle Name:MARINO
Other - Last Name:LEBLANC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:318 BERTRAND DR STE 101
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-5636
Mailing Address - Country:US
Mailing Address - Phone:337-889-5820
Mailing Address - Fax:337-889-5821
Practice Address - Street 1:318 BERTRAND DR STE 101
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-5636
Practice Address - Country:US
Practice Address - Phone:337-889-5820
Practice Address - Fax:337-889-5821
Is Sole Proprietor?:No
Enumeration Date:2011-06-26
Last Update Date:2022-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1652111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA234313Medicare PIN