# COAST GUARD ISC NOLA

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

## Provider details

- **NPI number:** 1053598557
- **Authorized official:** FRANCISCO LAGO-VELEZ (MEDICAL OFFICER)
- **Authorized official phone:** (504) 329-1421

## Contact information

- **Practice address:** 1790 SATURN ROAD, NEW ORLEANS, LA 70129-2218
- **Practice address phone:** (504) 253-6506
- **Mailing address:** 1790 SATURN ROAD, NEW ORLEANS, LA 70129
- **Mailing address phone:** (504) 253-6506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 01/28/2008