Provider Demographics
NPI:1366521254
Name:ALLEN, LOUIS DAVID (MD)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:DAVID
Last Name:ALLEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:107 INDUSTRIAL DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549
Mailing Address - Country:US
Mailing Address - Phone:919-496-2533
Mailing Address - Fax:919-496-8140
Practice Address - Street 1:107 INDUSTRIAL DR
Practice Address - Street 2:SUITE C
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2371
Practice Address - Country:US
Practice Address - Phone:919-496-2533
Practice Address - Fax:919-496-8410
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2015-04-10
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Provider Licenses
StateLicense IDTaxonomies
NC25214208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10882OtherBCBS OF NC
NC1619058955Medicaid
NC8910882Medicaid
NC1252685OtherUNITED HEALTHCARE
NC20214OtherMEDCOST
NC116394OtherWELLPATH
NC5720609OtherAETNA
NC5309758OtherCIGNA