Individual
DR. LAURA ASHLEY MITCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(504) 338-2868
Mailing address
1305 BIENVILLE AVE, RUSTON, LA 71270-5203
(504) 338-2868
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
204145
LA
208D00000X
General Practice Physician
204145
LA
Other
Enumeration date
05/24/2008
Last updated
12/15/2025
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