Healthcare Provider Details

I. General information

NPI: 1740264514
Provider Name (Legal Business Name): REBECCA K MEINERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA K HILL MD

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 JEFFERSON HWY
BATON ROUGE LA
70809-7715
US

IV. Provider business mailing address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US

V. Phone/Fax

Practice location:
  • Phone: 225-336-3100
  • Fax: 225-336-3114
Mailing address:
  • Phone: 504-842-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD200093
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: