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Individual

JED LANE MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3401 NORTH BLVD, SUITE 200, BATON ROUGE, LA 70806-3743
(225) 387-0851
(225) 383-8477
Mailing address
PO BOX 4869, DEPARTMENT 235, HOUSTON, TX 77210-4869
(877) 744-1141
(847) 537-4866

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03455R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1135780
LA
01
P00143410
RAILROAD MEDICARE
LA
Enumeration date
07/26/2005
Last updated
02/14/2012
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