Individual
LAURA ROBINSON KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291
(318) 329-8830
Mailing address
PO BOX 3780, TUPELO, MS 38803-3780
(318) 841-9526
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
BP20044135
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.206962
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
P5395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2366840
—
LA
Enumeration date
06/12/2012
Last updated
07/15/2019
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