# LOUISIANA AVENUE MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1184664534
- **Authorized official:** DR. HENRY M EVANS JR. M.D. (PRESIDENT / MEDICAL DIRECTOR)
- **Authorized official phone:** (504) 284-3866

## Contact information

- **Practice address:** 4301 ELYSIAN FIELDS AVENUE, NEW ORLEANS, LA 70122-7404
- **Practice address phone:** (504) 284-3866
- **Practice address fax:** (504) 284-3869
- **Mailing address:** 4301 ELYSIAN FIELDS AVENUE, NEW ORLEANS, LA 70122-7404
- **Mailing address phone:** (504) 284-3866
- **Mailing address fax:** (504) 284-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 012410 | LA | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 09/12/2012