# USCG ISC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USCG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578738266
- **Authorized official:** COX LISA (MEDICAL ASSISTANT)
- **Authorized official phone:** (504) 253-6506

## Contact information

- **Practice address:** 17800 OLD GENTILLT ROAD, NEW ORLEANS, LA 70129-6706
- **Practice address phone:** (504) 253-6506
- **Mailing address:** 70040 5TH ST, COVINGTON, LA 70433-6706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008