Levi Slack is a student in an organized health care education training program in Baton Rouge, LA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Levi Slack NPI is 1326424300. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
112 HUEY P LONG FIELDHOUSE
BATON ROUGE, LA
ZIP 70803-001
Phone: (225) 578-7175
The enumeration date for this NPI number is 8/1/2015 and was last updated on 8/1/2015.