Individual
SUSONNE ANNETTE URSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SECTION OF GENETICS, SHREVEPORT, LA 71103-4228
(318) 675-6076
(318) 675-6059
Mailing address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SECTION OF GENETICS, SHREVEPORT, LA 71103-4228
(318) 675-6076
(318) 675-6059
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
013853
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194484
—
LA
Enumeration date
07/16/2006
Last updated
07/31/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us