Organization · Type 2 NPI

Louisiana State University Health Sciences Center

Family Medicine Physician · Monroe, LA

NPI number 1962674713 Active

Practice location

4864 Jackson St
Monroe, LA 71202-6400

Call (318) 330-7000 Map

Fax (318) 675-5666

Mailing address

1501 Kings Hwy, Shared Billing Services
Shreveport, LA 71103-4228

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X142 (LA)
Family Medicine Physician Primary 207Q00000X142 (LA)
Internal Medicine Physician 207R00000X142 (LA)
Obstetrics & Gynecology Physician 207V00000X142 (LA)
Ophthalmology Physician 207W00000X142 (LA)
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X142 (LA)
Pediatrics Physician 208000000X142 (LA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1962674713

Louisiana State University Health Sciences Center's National Provider Identifier is 1962674713, issued on Apr 1, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Monroe, LA. The record was last updated on Apr 1, 2008.