Hickson, Renee B

Hickson, Renee B is an individual health care provider with primary practice located at 1004 Surrey St , Lafayette LA 70501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hickson, Renee B can be contacted via phone (337) 456-6768.

Contact Information

Primary practice address
1004 Surrey St Lafayette LA 70501
Phone: (337) 456-6768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.022772 Louisiana

Profile Details

NPI number 1356300776
LBN Legal business name Hickson, Renee B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated May 7th, 2021 - about 4 years ago

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 1356300776 NPPES
Louisiana MEDICAID 1493040

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