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Individual

DR. LUIS FEDERICO MATTA II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
71205 HIGHWAY 21 STE 1, COVINGTON, LA 70433-7121
(985) 809-8868
Mailing address
71205 HIGHWAY 21 STE 1, COVINGTON, LA 70433-7121
(985) 809-8868

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
019575
LA

Other

Enumeration date
08/02/2005
Last updated
04/30/2009
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