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Contact Information

SAMUEL J HARELSON III, MD
LSU HEALTHCARE NETWORK
3401 NORTH BLVD, SUITE 400
BATON ROUGE, LA70806
 Phone: 225-381-2755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL J HARELSON III · (Male)

NPI Number 1134141633
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 01/13/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 12277
  • LA Medicaid 1302961
Hospital affiliation(s)
  • OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    5000 HENNESSY BLVD
    BATON ROUGE, LA 70808
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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