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Organization
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Active
Organization
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Active
Other names
Louisiana State University Health Sciences
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE H SOTAK MHSA (DIRECTOR OF MANAGED CARE)
(318) 675-7737
Entity
Organization
Contact information
Practice address
1501 KINGS HWY, SHARED BILLING SERVICES, SHREVEPORT, LA 71103-4228
(318) 675-5000
(318) 675-5666
Mailing address
1501 KINGS HWY, SHARED BILLING SERVICES, SHREVEPORT, LA 71103-4228
(318) 675-5000
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
142
LA
207R00000X
Internal Medicine Physician
142
LA
207V00000X
Obstetrics & Gynecology Physician
142
LA
208000000X
Pediatrics Physician
142
LA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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