Organization
GENETIC SERVICES OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE W. SUPERNEAU M.D. (DIRECTOR)
(225) 231-5381
Entity
Organization
Contact information
Practice address
9050 AIRLINE HWY, BATON ROUGE, LA 70815-4103
(225) 231-5381
Mailing address
5339 O DONOVAN DRIVE, BATON ROUGE, LA 70808
(225) 231-5381
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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