Individual provider · Type 1 NPI

Russell J. Wardlaw, MD

Specialist · Hammond, LA

NPI number 1376734210 Active

Practice location

16061 Doctors Blvd, Suite B
Hammond, LA 70403-1499

Call (985) 542-1334 Map

Fax (985) 893-9594

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X026005 (LA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376734210

Russell J. Wardlaw, MD's National Provider Identifier is 1376734210, issued on Aug 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hammond, LA. The record was last updated on Apr 23, 2013.