Llewellyn Simon M.D.

NPI 1063494128 - Internal Medicine - 207R00000X

NPI Details
NPI 1063494128
Gender Male
Enumeration Date 11/15/2005
Last Updated 05/28/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
336 N HOOD ST
LAKE PROVIDENCE LA, 71254-2140, US
Phone (318) 559-2404
Fax (318) 559-2430
Business Location
336 N HOOD ST
LAKE PROVIDENCE LA, 71254-2140, US
Phone (318) 559-2404
Fax (318) 559-2430
Toxanomy
Taxonomy Code 207R00000X
License State Louisiana
License Number 11828R
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According to our database, Dr. Llewellyn Simon M.D. NPI is 1063494128, taxonomy code is 207R00000X and license number is 11828R, license state is located at Louisiana. Llewellyn Simon M.D. physically located at 336 N Hood St, Lake Providence LA, 71254-2140. NPI Number Llewellyn Simon M.D. has the Individual type.

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1063494128 NPI number is provided on an as is basis without warranty of any kind. 1063494128 is maintained by the National Plan & Provider Enumeration System. The contents of Llewellyn Simon M.D. are for informational purposes only.