MEDICARE: STEPHANIE N ALDRET D.O.

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
1	207Q00000X	Family Medicine Physician	4734	OK
2	207Q00000X	Family Medicine Physician	102202830	VA
3	207QS0010X	Sports Medicine (Family Medicine) Physician	DO.000291	LA
4	207Q00000X	Family Medicine Physician	2548	WV

General Provider Information

NPI Number	:	1083845036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE N ALDRET D.O.

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	318-966-8266
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	105 UNIVERSITY AVE
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203
Country	:	US
Telephone Number	:	318-966-8266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2009
Last Update Date	:	06/19/2026

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