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NPI Code Detail

MEDICARE: DR. LINDA MAUTERER MCCAULEY M.D.

MEDICARE: DR. LINDA MAUTERER MCCAULEY M.D.
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
1207R00000XInternal Medicine Physician09863RLA

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 : 1023034378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA MAUTERER MCCAULEY M.D.
Provider Business Mailing Address
First Line : 16777 MEDICAL CENTER DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-3254
Country : US
Telephone Number : 225-926-7200
Fax Number : 225-952-8502
Provider Business Practice Location Address
First Line : 16777 MEDICAL CENTER DR
Second Line : STE 400
City : BATON ROUGE
State : LA
Zip : 70816-3254
Country : US
Telephone Number : 225-926-7200
Fax Number : 225-952-8502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 08/14/2013

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