# IVO BARONNE MD,MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1376617928
- **Authorized official:** IVO IATCHOVSKI-BARONNE M.D. (PRESIDENT)
- **Authorized official phone:** (504) 338-4042

## Contact information

- **Practice address:** 3017 HARVARD AVE, SUITE 102, METAIRIE, LA 70006-6494
- **Practice address phone:** (504) 885-7018
- **Practice address fax:** (504) 885-2904
- **Mailing address:** 1500 W ESPLANADE AVE, APT.C-45, KENNER, LA 70065-5300
- **Mailing address phone:** (504) 338-4042
- **Mailing address fax:** (504) 885-2904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020