IndividualActive
Alonzo Wilder, PAC
NPI 1881635878 · Physician Assistant · Livingston, LA
Provider details
- NPI number
- 1881635878
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- A10241 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
13960 Florida Blvd
Livingston, LA 70754
Phone: (225) 686-0158
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 261166
Baton Rouge, LA 70826-1166
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2009-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.