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Individual

DR. FAITH HANSBROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8200 CONSTANTIN BLVD STE 220, BATON ROUGE, LA 70809-3481
(225) 769-2295
(225) 769-2297
Mailing address
7777 HENNESSY BLVD, SUITE 212, BATON ROUGE, LA 70808
(225) 769-2295
(225) 769-2297

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
015955
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1367486
LA
Enumeration date
04/25/2006
Last updated
06/25/2020
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