Healthcare Provider Details

I. General information

NPI: 1669648564
Provider Name (Legal Business Name): LSUHN BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5825 AIRLINE HWY
BATON ROUGE LA
70805-2408
US

IV. Provider business mailing address

PO BOX 62600 DEPT 1432 COMMUNITY CARE
NEW ORLEANS LA
70162-0001
US

V. Phone/Fax

Practice location:
  • Phone: 225-358-1000
  • Fax:
Mailing address:
  • Phone: 877-988-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOEL SELLERS
Title or Position: CFO
Credential:
Phone: 225-381-2755