Doctor Name: | DR. LOUISE DESROSIERS |
NPI Number: | 1831353515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | C1-0007160 |
Business Practice Address: | 1181 Paddock Rd Smyrna, DE - 199779679 |
Business Phone Number: | 3026539261 |
Business Fax Number: | |
Mailing Address: | Po Box 851, HOCKESSIN |
State: | DE |
Postal Code: | 197070851 |
Phone Number: | 3026539261 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2008 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C1-0007160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |