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Contact Information

TERRY LAIRMORE, MD
1541 KINGS HWY
SHREVEPORT, LA71103-4228
 Phone: 318-626-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TERRY LAIRMORE · (Male)

NPI Number 1083674949
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 06/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 321853
  • TX License # M1193
  • TX Medicaid 1728842-01
  • TX Other 8S0392 BLUE SHIELD
  • TX Other 1728842-02 CSHCN
Hospital affiliation(s)
  • LSU HEALTH SCIENCES CENTER - SHREVEPORT - (Acute Care)
    1541 KINGS HIGHWAY
    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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