Provider Demographics
NPI:1376033118
Name:ALBIN, ALEXIS VICTORIA GUICE (MD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:VICTORIA GUICE
Last Name:ALBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-5450
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:3100 FORSYTHE AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3014
Practice Address - Country:US
Practice Address - Phone:318-966-5450
Practice Address - Fax:318-966-5451
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA330854208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatrics