Woodroffe, Taira Lynn

Woodroffe, Taira Lynn is an sole proprietor health care provider with primary practice located at 4242 Highway 19 Building 3 Suite A, Zachary LA 70791-3981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Woodroffe, Taira Lynn can be contacted via phone (225) 658-7860.

Contact Information

Primary practice address
4242 Highway 19 Building 3 Suite A Zachary LA 70791-3981
Phone: (225) 658-7860
Fax: (225) 658-7862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08812300 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 204357 Louisiana

Profile Details

NPI number 1508002494
LBN Legal business name Woodroffe, Taira Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2008
Last updated Mar 10th, 2016 - about 10 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 1508002494 NPPES
Louisiana MEDICAID 2152408

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