Individual
DR. WILLIAM LEWIS NORWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2751 ALBERT BICKNELL DRIVE, SUITE 3A, SHREVEPORT, LA 71103-3976
(318) 636-9905
(318) 636-5102
Mailing address
P.O. BOX 3858, SHREVEPORT, LA 71133-3858
(318) 636-9905
(318) 636-5102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02605R
LA
208600000X
Surgery Physician
Primary
MD.02605R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020048134
RR MEDICARE PROVIDER
LA
01
—
119613103
PROVIDER NUMBER
TX
05
—
1322881
—
LA
Enumeration date
06/09/2005
Last updated
11/02/2012
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