Individual
MERRILL JAMES LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09845R
LA
208000000X
Pediatrics Physician
09845R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1986933
—
LA
Enumeration date
03/20/2006
Last updated
07/30/2019
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