Individual
DR. LAURA SHERROD HAYNIE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2751 ALBERT L BICKNELL DR, SUITE 2-D, SHREVEPORT, LA 71103-3920
(318) 221-2623
(318) 424-9850
Mailing address
2751 ALBERT L BICKNELL DR, SUITE 2-D, SHREVEPORT, LA 71103-3920
(318) 221-2623
(318) 424-9850
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
017142
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1374318
—
LA
Enumeration date
06/15/2006
Last updated
07/08/2007
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