Organization
LGH OB-GYN CLINIC 2
Active
Other names
Obstetrics & Gynecology of Ruston
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STONE (CEO)
(318) 254-2453
Entity
Organization
Contact information
Practice address
411 EAST VAUGHN AVE., SUITE 201, RUSTON, LA 71270
(318) 255-3223
(318) 255-3181
Mailing address
411 EAST VAUGHN AVE., SUITE 201, RUSTON, LA 71270
(318) 255-3223
(318) 255-3181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.201086
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33779
CONTROLLED SUBSTANCE
LA
01
—
MD.201086
LA LICENSE NUMBER
LA
Enumeration date
09/15/2006
Last updated
03/07/2023
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