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Organization

LOUISIANA PAIN PHYSICIANS, LLC

Active
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Organization

LOUISIANA PAIN PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAMMY SMITH (CHIEF FINANCIAL OFFICER)
(318) 861-1336
Entity
Organization

Contact information

Practice address
138 E 5TH ST, NATCHITOCHES, LA 71457-5725
(318) 352-4477
(318) 861-1325
Mailing address
457 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 861-7246
(318) 861-1325

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
01/02/2009
Last updated
01/02/2009
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