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Organization
THE RETINAL INSTITUTE OF LOUISIANA
Active
Organization
THE RETINAL INSTITUTE OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY NEWSOME M.D. (CEO)
(504) 246-1966
Entity
Organization
Contact information
Practice address
10001 LAKE FOREST BLVD, STE 701, NEW ORLEANS, LA 70127-5264
(504) 246-1966
(504) 241-0743
Mailing address
10001 LAKE FOREST BLVD, STE 701, NEW ORLEANS, LA 70127-5264
(504) 246-1966
(504) 241-0743
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
072372
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1355275
—
LA
05
—
1550710
—
LA
05
—
1941174
—
LA
Enumeration date
06/08/2005
Last updated
08/22/2020
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