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NPI Code Detail

MEDICARE: LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

MEDICARE: LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
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
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
290005OTHERBLUE CROSS

General Provider Information

NPI Number : 1720025679
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Provider Business Mailing Address
First Line : 5825 AIRLINE HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-2408
Country : US
Telephone Number : 225-358-1000
Fax Number : 225-358-1003
Provider Business Practice Location Address
First Line : 5825 AIRLINE HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-2408
Country : US
Telephone Number : 225-358-1000
Fax Number : 225-358-1003
Authorized Official
Title or Position : VICE CHANCELLOR/CEO
Name : DR. MICHAEL K BUTLER
Credential : M.D.
Telephone Number : 225-922-0775
Provider Enumeration Date : 06/01/2006
Last Update Date : 03/20/2013

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Directions to “LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER ” Practice Location

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