Individual
CHANTAL SALIM LUTFALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8200 CONSTANTIN BLVD FL 4, BATON ROUGE, LA 70809-3481
(225) 765-5500
(225) 765-1733
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
15400R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464856
—
LA
Enumeration date
11/02/2005
Last updated
01/12/2021
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