Provider Demographics
NPI:1215950225
Name:SINCLAIR, HEIDI LEE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:LEE
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:MD, MPH
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-526-0010
Mailing Address - Fax:225-765-9298
Practice Address - Street 1:7436 BISHOP OTT DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-8931
Practice Address - Country:US
Practice Address - Phone:225-490-0604
Practice Address - Fax:225-490-0354
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA025106207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1420786Medicaid
LA4N066Medicare PIN
OTH000Medicare UPIN