Doughty, Larry Justin

Doughty, Larry Justin is an individual health care provider with primary practice located at 3444 Masonic Drive , Alexandria LA 71301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Doughty, Larry Justin can be contacted via phone (318) 473-9556.

Contact Information

Primary practice address
3444 Masonic Drive Alexandria LA 71301
Phone: (318) 473-9556
Fax: (318) 441-8339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 310787 Louisiana
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 310878 Louisiana

Profile Details

NPI number 1922549211
LBN Legal business name Doughty, Larry Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Dec 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922549211 NPPES
Louisiana MEDICAID 2440985

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