Individual
MELISSA LEUTHNER LAWHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2518 BERT KOUNS LOOP, SHREVEPORT, LA 71118-3112
(318) 212-5437
(318) 212-5825
Mailing address
2518 BERT KOUNS LOOP, SHREVEPORT, LA 71118-3112
(318) 212-5437
(318) 212-5825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024809
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578479
—
LA
Enumeration date
03/25/2006
Last updated
06/30/2021
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