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Russell J Wardlaw, MD
Specialist in Hammond, Louisiana
NPI 1376734210

Russell J Wardlaw is a Specialist based in Hammond, LA. Russell J Wardlaw practices in Hammond, LA and has the professional credentials of MD. The NPI Number for Russell J Wardlaw is 1376734210 and holds a License No. 026005 (Louisiana).

The current practice location address for Russell J Wardlaw is 16061 Doctors Blvd, Hammond, LA and can be reached out via phone at 985-542-1334 and via fax at 985-893-9594.

Location: 16061 Doctors Blvd, Hammond, LA, 70403-1499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376734210
Provider Name
Russell J Wardlaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16061 Doctors Blvd, Hammond, LA, 70403-1499
Phone Number
985-542-1334
Fax Number
985-893-9594
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1056529 05 LA
institution
Provider Business Practice Location Address Details
Address
16061 Doctors Blvd
City
Hammond
State
Louisiana
Zip
70403-1499
Phone Number
985-542-1334
Fax Number
985-893-9594
person
Provider Business Mailing Address Details
Address
16061 Doctors Blvd
City
Hammond
State
Louisiana
Zip
70403-1499
Phone Number
985-542-1334
Fax Number
985-893-9594
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
026005 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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