Provider Demographics
NPI:1497811608
Name:MORROW, ROBERT LOUIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LOUIS
Last Name:MORROW
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 WOODBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-4449
Mailing Address - Country:US
Mailing Address - Phone:337-233-5857
Mailing Address - Fax:337-233-3144
Practice Address - Street 1:501 WEST ST MARY BOULEVARD
Practice Address - Street 2:SUITE 404
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4263
Practice Address - Country:US
Practice Address - Phone:337-233-5857
Practice Address - Fax:337-233-3144
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011208174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1330680Medicaid
LA54024Medicare ID - Type Unspecified
LA1330680Medicaid