Subscribe to Job Posting

Please inform us if you would like to learn more information about the LATA or to subscribe to the

* Mandatory fields

*Membership Status

Please declare your current membership status with the NATA. (NATA dues do include LATA dues.)

Photo

Max size 110 x 110 pixels, larger images will be resized.

Prefix

*First name

*Last Name

Credentials

Please list your credentials in the following order:

Education, License(s), Certification(s)

Suffix

Nickname

*E-Mail

Employer / Organization

Cell Phone

Preferred Address

Address 1

Address 2

City, State, Zip

Parish Of Residence

*Region of LATA

*NPI Number

Please provide your National Provider Number. If you have not requested a free NPI number, put "None".

LSBME Certification #

Louisiana license numbers begin with ATH.....

*LSBME Certification Date

January 2025 Select a Different Month (Keyboard shortcut: M)

BOC Certification #

BOC Certification Date

NATA Membership #

Subscription

Back