Organization
DRS. LOLLEY & ZIZZI AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LOLLEY M.D. (PRESIDENT)
(318) 387-1811
Entity
Organization
Contact information
Practice address
102 THOMAS RD STE 203, WEST MONROE, LA 71291-5547
(318) 387-1811
(318) 387-7529
Mailing address
102 THOMAS RD STE 203, WEST MONROE, LA 71291-5547
(318) 387-1811
(318) 387-7529
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
010612
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136361
—
LA
01
—
4355809970
BLUE CROSS
LA
Enumeration date
04/11/2007
Last updated
11/01/2010
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