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Organization

BAYOU PATHOLOGY, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA C HARRISON (PRACTICE MANAGER)
(318) 323-1834
Entity
Organization

Contact information

Practice address
109 CIRCLE DR, WEST MONROE, LA 71291-5303
(318) 323-1834
(318) 323-0376
Mailing address
109 CIRCLE DR, WEST MONROE, LA 71291-5303
(318) 323-1834
(318) 323-0376

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1794805
LA
Enumeration date
08/02/2005
Last updated
04/20/2008
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