MEDICARE: DR. HEIDI LEE SINCLAIR MD, MPH

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	207R00000X	Internal Medicine Physician	025106	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1215950225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEIDI LEE SINCLAIR MD, MPH

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	:	225-526-0010
Fax Number	:	225-765-9298

Provider Business Practice Location Address
First Line	:	7436 BISHOP OTT DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-8931
Country	:	US
Telephone Number	:	225-490-0604
Fax Number	:	225-490-0354

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	03/17/2018

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