# LMAMON MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033465497
- **Authorized official:** DR. LAKISHA MAMON MD (PHYSICIAN/MANAGER)
- **Authorized official phone:** (504) 723-3132

## Contact information

- **Practice address:** 3909 BIENVILLE ST, SUITE 102, NEW ORLEANS, LA 70119-5151
- **Practice address phone:** (504) 486-0020
- **Mailing address:** 3909 BIENVILLE ST, SUITE 102, NEW ORLEANS, LA 70119-5151
- **Mailing address phone:** (504) 486-0020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 026572 | LA | Yes |

## Other

- **Enumeration date:** 08/02/2012
- **Last updated:** 08/02/2012