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Contact Information

ROBERT D BOSTICK JR, M.D.
107 MARYLAND DRIVE
LULING, LA70070
 Phone: 504-349-6411
 Fax: 504-349-6415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ROBERT D BOSTICK JR · (Male)

NPI Number 1235130386
Status Active
Credentials M.D.
Entity Individual
Enumeration date 08/10/2005
Last updated 05/03/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • LA License # 010641
  • LA Medicaid 1118796
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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