# LGH OB-GYN CLINIC 2

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Obstetrics & Gynecology of Ruston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013013408
- **Authorized official:** THOMAS STONE (CEO)
- **Authorized official phone:** (318) 254-2453

## Contact information

- **Practice address:** 411 EAST VAUGHN AVE., SUITE 201, RUSTON, LA 71270
- **Practice address phone:** (318) 255-3223
- **Practice address fax:** (318) 255-3181
- **Mailing address:** 411 EAST VAUGHN AVE., SUITE 201, RUSTON, LA 71270
- **Mailing address phone:** (318) 255-3223
- **Mailing address fax:** (318) 255-3181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD.201086 | LA | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 33779 | CONTROLLED SUBSTANCE | LA |
| 01 | — | MD.201086 | LA LICENSE NUMBER | LA |