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Contact Information

LAURA S HAYNIE, MD
2751 ALBERT L BICKNELL DR
SUITE 2-D
SHREVEPORT, LA71103-3920
 Phone: 318-221-2623
 Fax: 318-424-9850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LAURA S HAYNIE · (Female)

NPI # 1679517148
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 017142
  • LA Medicaid 1374318
Hospital affiliation(s)
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
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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