Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Louisiana State University Health Sciences Center

Organization Neurology Physician · NPI 1104860121

Louisiana State University Health Sciences Center provides Neurology Physician services in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1501 Kings Hwy Lsuhsc-S Dept OF Surgery
Shreveport, LA 71103-4228 Not confirmed with CMS for 18 years — call before visiting
Phone: (318) 675-7737
Fax: (318) 675-5666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 142 (LA)
Neurology Physician Taxonomy 2084N0400X · Licence 142 (LA)

Record details

NPI number1104860121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Sotak — Director Of Managed Care · (318) 675-7737
Other names Lsuhsc-S Department Of Surgery
NPI enumeratedJune 16, 2006
Last updated in NPPESDecember 27, 2007
Mailing address1501 Kings Hwy, Lsuhsc-S Department Of Surgery, Shreveport, LA 71103-4228

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