Individual
DR. MELISSA BAGWELL LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVENUE, BATON ROUGE, LA 70809
(225) 761-5480
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
134675
NC
207Q00000X
Family Medicine Physician
Primary
MD.202898
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06930211
—
MS
05
—
1887901
—
LA
Enumeration date
04/04/2007
Last updated
11/18/2009
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