Individual
REBECCA LEIGH BOYD WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1990 INDUSTRIAL BLVD, SOUTH LOUISIANA MEDICAL ASSOCIATES, HOUMA, LA 70363-7055
(985) 873-1335
(985) 873-1225
Mailing address
1990 INDUSTRIAL BLVD, SOUTH LOUISIANA MEDICAL ASSOCIATES, HOUMA, LA 70363-7055
(985) 873-1335
(985) 873-1225
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
025607
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043966
—
LA
05
—
276536500
—
FL
Enumeration date
06/02/2006
Last updated
06/02/2016
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