Kantrow, Mark Lewis
Kantrow, Mark Lewis is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 501B , Baton Rouge LA 70808-4300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Kantrow, Mark Lewis can be contacted via phone (225) 765-1737.Contact Information
Primary practice address
7777 Hennessy Blvd Ste 501B
Baton Rouge LA 70808-4300
Phone: (225) 765-1737
Fax: (225) 765-1842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 09411R | Louisiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 09411R | Louisiana |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 09411R | Louisiana |
Profile Details
| NPI number | 1093716920 |
|---|---|
| LBN Legal business name | Kantrow, Mark Lewis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | May 26th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093716920 | NPPES |
| Mississippi | MEDICAID | 00621757 | |
| Mississippi | MEDICAID | 1962783 | |
| Mississippi | Other | P00020218 |
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