Individual
MS. MELINDA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 FACTORY OUTLET DRIVE, STE 12, ARCADIA, LA 71001-3057
(318) 263-4701
(318) 263-4704
Mailing address
600 FACTORY OUTLET DR, STE 12, ARCADIA, LA 71001-3057
(318) 263-4701
(318) 263-4704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
018544
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1909921
—
LA
Enumeration date
12/27/2006
Last updated
12/08/2011
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