Individual
STEPHANIE SMITH FALCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.202190
LA
208M00000X
Hospitalist Physician
Primary
MD.202190
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06103578
—
MS
05
—
1007188
—
LA
Enumeration date
08/08/2007
Last updated
01/08/2021
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