Provider Demographics
NPI:1740508571
Name:EASON, MARGOT BELL (MD)
Entity type:Individual
Prefix:DR
First Name:MARGOT
Middle Name:BELL
Last Name:EASON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGOT
Other - Middle Name:MARION
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 DESIARD ST
Mailing Address - Street 2:SUITE 355
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-7319
Mailing Address - Country:US
Mailing Address - Phone:318-807-7875
Mailing Address - Fax:318-812-6603
Practice Address - Street 1:920 OLIVER RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5702
Practice Address - Country:US
Practice Address - Phone:318-807-6263
Practice Address - Fax:318-812-7348
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.205572208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2102851Medicaid
LA2102851Medicaid