IndividualActive
Susonne Ursin, M.D.
NPI 1700803608 · Clinical Genetics (M.D.) Physician · Shreveport, LA
Provider details
- NPI number
- 1700803608
- Entity type
- Individual
- Primary specialty
- Clinical Genetics (M.D.) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 013853 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1501 Kings Hwy
Department of Pediatrics, Section of Genetics
Shreveport, LA 71103-4228
Phone: (318) 675-6076
Fax: (318) 675-6059
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2009-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.