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Individual

DR. JANICE L FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1805 JACKSON ST, MONROE, LA 71202-2529
(318) 966-4000
(318) 966-7364
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205149
LA
207R00000X
Internal Medicine Physician
M8654
TX
207R00000X
Internal Medicine Physician
MD.205149
LA
208000000X
Pediatrics Physician
MD205149
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198386801
TX
01
8G9389
BCBS
TX
Enumeration date
06/09/2006
Last updated
03/11/2025
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