Stefanie Alida Schultis, M.D.
Specialist in Covington, LA. Individual provider (NPI-1).
NPI number1528065521
StatusActive
Last updated in NPPESApr 23, 2019
Details
- NPI
- 1528065521
- Entity type
- Individual (NPI-1)
- Name
- Stefanie Alida Schultis
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2005
- Last updated
- Apr 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 018419 | LA | Yes |
Practice location
110 Lakeview DrSuite 100
Covington, LA 70433-7509
Phone 985-898-1940 · Fax 985-893-3427
Mailing address
110 Lakeview DrSuite 100
Covington, LA 70433-7509
Phone 985-898-1940 · Fax 985-893-3427
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