Individual
LURA WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 208, BATON ROUGE, LA 70808-4300
(225) 765-8826
Mailing address
PO BOX 4964, HOUSTON, TX 77210-4964
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10779R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1655431
—
LA
01
—
P00247410
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
04/20/2008
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