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Stefanie Alida Schultis, MD
Specialist in Covington, Louisiana
NPI 1528065521

Stefanie Alida Schultis is a Specialist based in Covington, LA. Stefanie Alida Schultis practices in Covington, LA and has the professional credentials of MD. The NPI Number for Stefanie Alida Schultis is 1528065521 and holds a License No. 018419 (Louisiana).

The current practice location address for Stefanie Alida Schultis is 110 Lakeview Dr, Covington, LA and can be reached out via phone at 985-898-1940 and via fax at 985-893-3427.

Location: 110 Lakeview Dr, Covington, LA, 70433-7509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528065521
Provider Name
Stefanie Alida Schultis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
110 Lakeview Dr, Covington, LA, 70433-7509
Phone Number
985-898-1940
Fax Number
985-893-3427
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1389579 05 LA
721166765 01 LA TAX ID
institution
Provider Business Practice Location Address Details
Address
110 Lakeview Dr
City
Covington
State
Louisiana
Zip
70433-7509
Phone Number
985-898-1940
Fax Number
985-893-3427
person
Provider Business Mailing Address Details
Address
110 Lakeview Dr
City
Covington
State
Louisiana
Zip
70433-7509
Phone Number
985-898-1940
Fax Number
985-893-3427
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
018419 (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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