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Individual

DR. LAURENCE F HILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 681-5000
(318) 681-1969
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-0996

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
014118
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1350834
LA
Enumeration date
04/11/2006
Last updated
11/13/2017
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