Provider Demographics
NPI:1386735694
Name:ACCARDO, REBECCA L (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:L
Last Name:ACCARDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:L
Other - Last Name:ACCARDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1521 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-3709
Mailing Address - Country:US
Mailing Address - Phone:337-907-6354
Mailing Address - Fax:337-907-6351
Practice Address - Street 1:200 MEDICAL DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-4230
Practice Address - Country:US
Practice Address - Phone:337-907-6354
Practice Address - Fax:337-907-6351
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD016556207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1375888Medicaid
LA1375888Medicaid
LAB89503Medicare UPIN