Individual
DR. ALYCE RICHARD PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070
(985) 785-3740
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
311951
LA
390200000X
Student in an Organized Health Care Education/Training Program
255827
MA
Other
Enumeration date
05/23/2013
Last updated
09/06/2024
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