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

Louisiana State University Health Sciences Center

Organization Family Medicine Physician · NPI 1366614117

Louisiana State University Health Sciences Center provides Family Medicine Physician services in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
Specialties on file
4
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Practice location Address checks out

1501 Kings Hwy Shared Billing Services
Shreveport, LA 71103-4228 Not confirmed with CMS for 18 years — call before visiting
Phone: (318) 675-5000
Fax: (318) 675-5666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 142 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 142 (LA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 142 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence 142 (LA)

Record details

NPI number1366614117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Sotak — Director Of Managed Care · (318) 675-7737
Other names Louisiana State University Health Sciences
NPI enumeratedApril 1, 2008
Last updated in NPPESApril 1, 2008
Mailing address1501 Kings Hwy, Shared Billing Services, Shreveport, LA 71103-4228

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