Individual
LISA BIRDSALL FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3460
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
257340
NY
207P00000X
Emergency Medicine Physician
Primary
MD.205118
LA
Other
Enumeration date
01/07/2009
Last updated
07/21/2022
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