Individual
TAIRA LYNN WOODROFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4242 HIGHWAY 19, BUILDING 3 SUITE A, ZACHARY, LA 70791-3981
(225) 658-7860
(225) 658-7862
Mailing address
4242 HIGHWAY 19, BUILDING 3 SUITE A, ZACHARY, LA 70791-3981
(225) 658-7860
(225) 658-7862
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08812300
NJ
208000000X
Pediatrics Physician
Primary
MD 204357
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152408
—
LA
Enumeration date
12/23/2008
Last updated
03/10/2016
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