# 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
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457935587
- **Legal business name:** LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
- **Authorized official:** LEISA P OGLESBY (EXECUTIVE DIR FOR MEDICAL SERVICES)
- **Authorized official phone:** (318) 675-7629

## Contact information

- **Practice address:** 1501 KINGS HIGHWAY, LSUHSC-S CLINICS, SHREVEPORT, LA 71103-4228
- **Practice address phone:** (318) 603-8022
- **Practice address fax:** (318) 861-4029
- **Mailing address:** PO BOX 735328, DALLAS, TX 75373-5328
- **Mailing address phone:** (318) 603-8022
- **Mailing address fax:** (318) 861-4029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 05/05/2021