# LOUISIANA GENETIC DISEASES PROGRAM

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

## Provider details

- **NPI number:** 1952529646
- **Authorized official:** MR. CHARLES MYERS GSW (PROGRAM MANAGER)
- **Authorized official phone:** (504) 219-4413

## Contact information

- **Practice address:** 1450 L AND A RD, METAIRIE, LA 70001-6235
- **Practice address phone:** (504) 219-4413
- **Practice address fax:** (504) 219-4452
- **Mailing address:** 1450 L AND A RD, METAIRIE, LA 70001-6235
- **Mailing address phone:** (504) 219-4413
- **Mailing address fax:** (504) 219-4452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | LA | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020