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Contact Information

LAURA A MITCHAM, MD
510 E STONER AVE
SHREVEPORT, LA71101-4243
 Phone: 504-338-2868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for LAURA A MITCHAM · (Female)

NPI Number 1871751057
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2008
Last updated 12/15/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • LA License # 204145
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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