Organization
HOPKINS DERMATOLOGY APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA CANOY SHORE (OFFICE MANAGER)
(318) 325-0600
Entity
Organization
Contact information
Practice address
2509 BROADMOOR BLVD, SUITE A, MONROE, LA 71201-2987
(318) 325-0600
(318) 325-0890
Mailing address
2509 BROADMOOR BLVD, SUITE A, MONROE, LA 71201-2987
(318) 325-0600
(318) 325-0890
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD.021601
LA
Other
Enumeration date
03/25/2008
Last updated
06/30/2023
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