# ALLYSON H BOUDREAUX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528115318
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 203772 | LA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 44837 | TN | — |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 09/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2115553 | — | LA |