MEDICARE: DR. F. JEFFERSON LINER JR. 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
1	208600000X	Surgery Physician	013817	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	:	1245217702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. F. JEFFERSON LINER JR. M. D.

Provider Business Mailing Address
First Line	:	PO BOX 2308
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70404-2308
Country	:	US
Telephone Number	:	985-542-1364
Fax Number	:	985-542-8679

Provider Business Practice Location Address
First Line	:	120 N CATE ST
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70401-3357
Country	:	US
Telephone Number	:	985-542-1364
Fax Number	:	985-542-8679

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	10/21/2008

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Directions to “ DR. F. JEFFERSON LINER JR. M. D.” Practice Location

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