Organization
LOUISIANA EAR, NOSE, THROAT & SINUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDIE C SCULLY-TUCKER (DIRECTOR OF OPERATIONS)
(225) 408-6900
Entity
Organization
Contact information
Practice address
8080 BLUEBONNET BLVD STE 2121, BATON ROUGE, LA 70810-7830
(225) 408-6900
(225) 408-6946
Mailing address
8080 BLUEBONNET BLVD STE 2222, BATON ROUGE, LA 70810-7828
(225) 408-6900
(225) 408-6946
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
09/27/2019
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