NPI 1871585513 DR. JUDY DERRICK LAVIOLETTE M.D. SHREVEPORT LA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Judy Derrick Laviolette - NPI: 1871585513

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. JUDY DERRICK LAVIOLETTE
NPI Number: 1871585513
Entity Type Code: Individual (1)
Gender: F
Credentials: M.D.
License Number: 017843
Business Practice Address: 7706 Chesapeake Dr
Shreveport, LA - 711055719
Business Phone Number: 3187975861
Business Fax Number:
Mailing Address: 7706 Chesapeake Dr,
SHREVEPORT
State: LA
Postal Code: 711055719
Phone Number: 3187975861
Fax Number:
NPI Enumeration Date: 08/18/2005
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 174400000X
License Number: 017843
Healthcare Provider Taxonomy:
(Secondary)
Y
State: LA
Taxonomy Type: Other Service Providers
Taxonomy Classification: Specialist
Taxonomy Specialization:
Taxonomy Definition:
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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