Kantrow, Mark Lewis

Kantrow, Mark Lewis is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 503 , Baton Rouge LA 70808-4366. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Kantrow, Mark Lewis can be contacted via phone (225) 765-2273.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste 503 Baton Rouge LA 70808-4366
Phone: (225) 765-2273
Fax: (225) 374-0251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 09411R Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 09411R Louisiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 09411R Louisiana

Profile Details

NPI number 1093716920
LBN Legal business name Kantrow, Mark Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 21st, 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 1093716920 NPPES
Louisiana MEDICAID 1962783
Louisiana Other P00020218
Louisiana MEDICAID 00621757

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