# LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
- **Other names:** LSUHSC-S Clinics, LSU Health Shreveport
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417992249
- **Legal business name:** LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
- **Authorized official:** LEISA P OGLESBY (EXECUTIVE DIRECTOR FOR MEDICAL SERV)
- **Authorized official phone:** (318) 675-7629

## Contact information

- **Practice address:** 1501 KINGS HWY, LSUHSC-S CLINICS, SHREVEPORT, LA 71103-4228
- **Practice address phone:** (318) 675-7737
- **Practice address fax:** (318) 675-5666
- **Mailing address:** 1501 KINGS HWY, LSUHSC-S CLINICS, SHREVEPORT, LA 71103-4228
- **Mailing address phone:** (318) 675-7737
- **Mailing address fax:** (318) 675-5666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 142 | LA | — |
| 207K00000X | Allergy & Immunology Physician | 142 | LA | — |
| 207N00000X | Dermatology Physician | 142 | LA | — |
| 207P00000X | Emergency Medicine Physician | 142 | LA | — |
| 207Q00000X | Family Medicine Physician | 142 | LA | — |
| 207R00000X | Internal Medicine Physician | 142 | LA | Yes |
| 207U00000X | Nuclear Medicine Physician | 142 | LA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 142 | LA | — |
| 207W00000X | Ophthalmology Physician | 142 | LA | — |
| 207X00000X | Orthopaedic Surgery Physician | 142 | LA | — |
| 207Y00000X | Otolaryngology Physician | 142 | LA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 142 | LA | — |
| 208000000X | Pediatrics Physician | 142 | LA | — |
| 2084P0800X | Psychiatry Physician | 142 | LA | — |
| 2085R0202X | Diagnostic Radiology Physician | 142 | LA | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 11/17/2022