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NPI Code Detail

MEDICARE: DR. SUSAN E ERLEMEIER DDS

MEDICARE: DR. SUSAN E ERLEMEIER DDS
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
11223G0001XGeneral Practice Dentistry4324LA
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
231778OTHERLALA BOARD OF PHARMACY

General Provider Information

NPI Number : 1215006382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN E ERLEMEIER DDS
Provider Business Mailing Address
First Line : 1297 SHREVEPORT BARKSDALE HIGHWAY
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105
Country : US
Telephone Number : 318-865-8725
Fax Number : 318-869-4725
Provider Business Practice Location Address
First Line : 506 HIGHWAY 2
Second Line :
City : STERLINGTON
State : LA
Zip : 71280-3004
Country : US
Telephone Number : 318-598-5040
Fax Number : 318-869-4725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 03/07/2023

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