Individual
LARRY JUSTIN DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8339
Mailing address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8339
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
310787
LA
208VP0000X
Pain Medicine Physician
Primary
310878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2440985
—
LA
Enumeration date
03/20/2017
Last updated
12/28/2023
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