Individual
ROBYN LYNN BOEDEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 701, BATON ROUGE, LA 70808-4300
(225) 765-5864
(225) 765-2013
Mailing address
7777 HENNESSY BLVD, SUITE 701, BATON ROUGE, LA 70808-4300
(225) 765-5864
(225) 765-2013
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
23808
AL
207RP1001X
Pulmonary Disease Physician
0101239729
VA
207RP1001X
Pulmonary Disease Physician
Primary
MD.202182
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009991735
—
AL
05
—
010293171
—
VA
01
—
051528036
BLUE CROSS
AL
05
—
1167584
—
LA
01
—
P00267754
RAILROAD MEDICARE
AL
Enumeration date
05/24/2006
Last updated
01/15/2021
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