NPI 1104860121

Louisiana State University Health Sciences Center

Organisation Surgery Physician Shreveport, LA

Practice location

Address: 1501 Kings Hwy Lsuhsc-S Department of Surgery, Shreveport, LA 71103-4228
Phone: (318) 675-7737
Fax: (318) 675-5666

Authorised official

Name: Melanie Hardegree Sotak
Title: Director of Managed Care
Phone: (318) 675-7737

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 142 (LA)

Other Surgery providers in Louisiana →

Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 142 (LA)

Other Psychiatry & Neurology providers in Louisiana →

Registry record

NPI: 1104860121
Entity type: Organization
NPI issued: 16 Jun 2006
Record last updated: 27 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.