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LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

Organization (NPI-2) Active

Family Medicine

Provider Information

NPI Number
1962674713
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4864 JACKSON ST, MONROE, LA, 712026400
Phone
(318) 330-7000
Fax
(318) 675-5666

Specialties & Taxonomies

Emergency Medicine License: LA #142
Internal Medicine License: LA #142
Obstetrics & Gynecology License: LA #142
Ophthalmology License: LA #142
Pathology, Anatomic Pathology & Clinical Pathology License: LA #142
Pediatrics License: LA #142
Family Medicine Primary License: LA #142

All Addresses

MAILING

1501 KINGS HWY SHARED BILLING SERVICES

SHREVEPORT, LA, 711034228

(318) 675-5000

LOCATION

4864 JACKSON ST

MONROE, LA, 712026400

(318) 330-7000