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Contact Information

MARESSA T POLLEN
1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA71103
 Phone: 318-675-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARESSA T POLLEN · (Female)

NPI # 1174733372
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2007
Last updated 07/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME135901
  • NJ License # 25MA10488200
  • FL Medicaid 024549900
  • LA Medicaid 07914
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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