Individual
NANCY L ZUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 MAGNOLIA CV, MONROE, LA 71203-2375
(318) 325-6311
(318) 361-9805
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13775R
LA
2080A0000X
Pediatric Adolescent Medicine Physician
MD13775R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1432946
—
LA
Enumeration date
08/26/2005
Last updated
08/26/2024
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