Individual
STEFANIE L RAWLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
2115 FORSYTHE AVE, MONROE, LA 71201-3642
(318) 388-1303
(318) 388-1707
Mailing address
2115 FORSYTHE AVE, MONROE, LA 71201-3642
(318) 388-1303
(318) 388-1707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTT.200086
LA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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