# EXECUTIVE MEDICINE LLC

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

## Provider details

- **NPI number:** 1558731398
- **Authorized official:** DR. LORRIE M METZLER M.D. (OWNER)
- **Authorized official phone:** (504) 309-4600

## Contact information

- **Practice address:** 701 POYDRAS ST, SUITE 104, NEW ORLEANS, LA 70139-6001
- **Practice address phone:** (504) 309-4600
- **Mailing address:** 27 FAIRWAY OAKS DR, NEW ORLEANS, LA 70131-3339
- **Mailing address phone:** (504) 309-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD.024822 | LA | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 10/06/2015