Individual
DR. TIMOTHY J DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 WEST UNIVERSITY PARKWAY, LEESVILLE, LA 71446-4482
(337) 239-2600
(337) 239-2601
Mailing address
103 W UNIVERSITY PKWY, LEESVILLE, LA 71446-4734
(337) 239-2600
(337) 239-2601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD203745
LA
Other
Enumeration date
07/02/2008
Last updated
10/25/2016
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