MEDICARE: STEPHEN J SCHORR MD

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	207VM0101X	Maternal & Fetal Medicine Physician	020521	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	:	1861485955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN J SCHORR MD

Provider Business Mailing Address
First Line	:	4600 AMBASSADOR CAFFERY PKWY
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6902
Country	:	US
Telephone Number	:	337-521-9100
Fax Number	:	337-521-9102

Provider Business Practice Location Address
First Line	:	4630 AMBASSADOR CAFFERY PKWY
Second Line	:	STE 404
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6949
Country	:	US
Telephone Number	:	337-983-0055
Fax Number	:	337-983-0920

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	04/07/2021

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