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Individual

MRS. MELISSA HAGGERTY ROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7777 HENNESSY BLVD STE 103, BATON ROUGE, LA 70808-4363
(225) 767-6700
(225) 767-6721
Mailing address
7777 HENNESSY BLVD STE 103, BATON ROUGE, LA 70808-4363
(225) 767-6700
(225) 767-6721

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201689
LA
2080P0203X
Pediatric Critical Care Medicine Physician
201689
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508276
LA
Enumeration date
03/06/2008
Last updated
07/21/2022
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