Individual
LAURA TOUPS HETZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4950 ESSEN LN STE 400, BATON ROUGE, LA 70809-3738
(225) 765-1765
(225) 765-1768
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
125049497
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD.204078
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1067814
—
LA
Enumeration date
08/04/2008
Last updated
03/25/2021
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