Individual
DR. ROBERT MACKINNON RAULERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 OLIVER RD, MONROE, LA 71201-5702
(318) 807-4951
(318) 812-0808
Mailing address
3339 DEBORAH DR, MONROE, LA 71201-2150
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
018874
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1374580
—
LA
Enumeration date
06/13/2006
Last updated
01/08/2024
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