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Contact Information

SOUTHERN FERTILITY CENTER
1057 PAUL MAILLARD RD
LULING, LA70070-4349
 Phone: 985-785-4211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SOUTHERN FERTILITY CENTER · (Female)

NPI # 1962678144
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2008
Last updated 05/07/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # MD06325R
  • LA Medicaid 1338362
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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