Organization
LOUISIANA PAIN PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY M SMITH (CHIEF FINANCIAL OFFICER)
(318) 861-1336
Entity
Organization
Contact information
Practice address
1 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 861-1260
(318) 861-1325
Mailing address
457 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 861-1260
(318) 861-1325
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
00203827
LA
Other
Enumeration date
05/22/2007
Last updated
10/12/2007
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