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NPI Code Detail

MEDICARE: CATHERINE F. VANDERLOOS, MD FACOG AMC

MEDICARE: CATHERINE F. VANDERLOOS, MD FACOG AMC
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
1174400000XSpecialist07702RLA

Other Identifiers

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

General Provider Information

NPI Number : 1013900133
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHERINE F. VANDERLOOS, MD FACOG AMC
Provider Business Mailing Address
First Line : 2508 BERT KOUNS INDUSTRIAL LOOP
Second Line : SUITE 400
City : SHREVEPORT
State : LA
Zip : 71118-3133
Country : US
Telephone Number : 318-687-1992
Fax Number : 318-687-1993
Provider Business Practice Location Address
First Line : 2508 BERT KOUNS INDUSTRIAL LOOP
Second Line : SUITE 400
City : SHREVEPORT
State : LA
Zip : 71118-3133
Country : US
Telephone Number : 318-687-1992
Fax Number : 318-687-1993
Authorized Official
Title or Position : MEDICAL DOCTOR - OB/GYN
Name : DR. CATHERINE FLORENCE VANDERLOOS
Credential : MEDICAL DOCTOR
Telephone Number : 318-687-1992
Provider Enumeration Date : 08/24/2005
Last Update Date : 01/25/2010

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