Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 08313 | LA |
Y | 213ES0000X | Sports Medicine | 08313 | LA |
NPI | 1154704724 |
---|---|
Provider Name | Victoria Hamby |
First Address | Monroe, LA 71201-6025 |
Second Address | Monroe, LA 71201-6025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2015 |
Last Update Date | 01/07/2015 |