Dr. Louis Oliver Jeansonne IV, M.D.
Surgery in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1124120779
StatusActive
Last updated in NPPESJul 20, 2010
Details
- NPI
- 1124120779
- Entity type
- Individual (NPI-1)
- Name
- Dr. Louis Oliver Jeansonne IV
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2006
- Last updated
- Jul 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD.201893 | LA | Yes |
Practice location
9001 Summa AvenueBaton Rouge, LA 70809
Phone 225-761-5470
Mailing address
1514 Jefferson HighwayNew Orleans, LA 70121
Phone 504-842-4000
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