Dr RANDALL FAULK is a male medical professional, specializing in Family Medicine. He graduated in 1993 from Louisiana State University School Of Medicine In New Orleans.
802 N MONCEAUX AVE
KAPLAN
LA
705482013
Tel: 3376433800
Npi | 1043214976 |
Pac Id | 3870563083 |
Professional Enrollment Id | I20080605000050 |
Last Name | FAULK |
First Name | RANDALL |
Middle Name | |
Suffix | |
Gender | M |
Credential | |
Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
Graduation Year | 1993 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | |
Group Practice Pac Id | |
Number Of Group Practice Members | |
Line 1 Street Address | 802 N MONCEAUX AVE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | KAPLAN |
State | LA |
Zip Code | 705482013 |
Phone Number | 3376433800 |
Hospital Affiliation Ccn 1 | 191322 |
Hospital Affiliation Lbn 1 | ABROM KAPLAN MEMORIAL HOSPITAL |
Hospital Affiliation Ccn 2 | 190064 |
Hospital Affiliation Lbn 2 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
Hospital Affiliation Ccn 3 | 190034 |
Hospital Affiliation Lbn 3 | ABBEVILLE GENERAL HOSPITAL |
Hospital Affiliation Ccn 4 | 190263 |
Hospital Affiliation Lbn 4 | HEART HOSPITAL OF LAFAYETTE |
Hospital Affiliation Ccn 5 | 190102 |
Hospital Affiliation Lbn 5 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
Professional Accepts Medicare Assignment | Y |
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