Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Louisiana State University Health Sciences Center

Organization Neurology Physician · NPI 1104860121

Louisiana State University Health Sciences Center is a Neurology Physician 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
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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