Healthcare Provider Details
I. General information
NPI: 1578581617
Provider Name (Legal Business Name): JAMES E WALKER JR. M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2006
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
LSU HEALTH SCIENCES CENTER 5246 BRITTANY DRIVE
BATON ROUGE LA
70808
US
IV. Provider business mailing address
LSU MEDICAL EDUCATION CENTER 5246 BRITTANY DRIVE
BATON ROUGE LA
70808
US
V. Phone/Fax
- Phone: 225-757-4080
- Fax: 225-757-4100
- Phone: 225-757-4080
- Fax: 225-757-4100
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 308314 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 308314 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: