Healthcare Provider Details

I. General information

NPI: 1720442882
Provider Name (Legal Business Name): LAUREN MCCALMONT MORGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 GILBERT DR STE 143
SHREVEPORT LA
71104-5000
US

IV. Provider business mailing address

3825 GILBERT DR STE 143
SHREVEPORT LA
71104-5000
US

V. Phone/Fax

Practice location:
  • Phone: 318-200-0020
  • Fax: 800-783-0490
Mailing address:
  • Phone: 318-200-0020
  • Fax: 800-783-0490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number322618
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number322618
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: