# LADY VIRGINIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lady Virginia Urgent Care, Lady Virginia Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871166033
- **Authorized official:** DR. CHIEMEZIE ONYEWUCHI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (240) 475-7647

## Contact information

- **Practice address:** 2601 TULANE AVE STE 615, NEW ORLEANS, LA 70119-7462
- **Practice address phone:** (504) 874-1181
- **Mailing address:** 2601 TULANE AVE STE 615, NEW ORLEANS, LA 70119-7462
- **Mailing address phone:** (504) 874-1181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/23/2021
- **Last updated:** 11/08/2021
