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NPI Code Detail

MEDICARE: DR. ANN FORD REILLEY M.D.

MEDICARE: DR. ANN FORD REILLEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician015200LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
213-00045OTHERLAUNITED
3690254OTHERLAAETNA

General Provider Information

NPI Number : 1558365916
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN FORD REILLEY M.D.
Provider Business Mailing Address
First Line : 8425 CUMBERLAND PL
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6544
Country : US
Telephone Number : 225-924-7514
Fax Number : 225-930-0987
Provider Business Practice Location Address
First Line : 8425 CUMBERLAND PL
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6544
Country : US
Telephone Number : 225-924-7514
Fax Number : 225-930-0987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ANN FORD REILLEY M.D.” Practice Location

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