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NPI Code Detail

MEDICARE: DR. LESLIE ROBIN COFFMAN M.D.

MEDICARE: DR. LESLIE ROBIN COFFMAN 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
1207V00000XObstetrics & Gynecology Physician013086LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568469450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE ROBIN COFFMAN M.D.
Provider Business Mailing Address
First Line : 401 MCMILLAN RD
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5325
Country : US
Telephone Number : 318-387-3113
Fax Number :
Provider Business Practice Location Address
First Line : 401 MCMILLAN RD
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5325
Country : US
Telephone Number : 318-387-3113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/09/2007

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