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Individual

DR. LOUIS CHRISTOPHER BENJAMIN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18961 SANTA MARIA DR, BATON ROUGE, LA 70809-6765
(225) 246-2110
Mailing address
18961 SANTA MARIA DR, BATON ROUGE, LA 70809-6765
(225) 246-2110

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD.201636
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD.201636
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022306
LA
Enumeration date
01/09/2007
Last updated
09/13/2013
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