Individual
CASEY LYNN DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
308 SUGARPINE DR, GRETNA, LA 70056-7936
(504) 494-1044
Mailing address
308 SUGARPINE DR, GRETNA, LA 70056-7936
(504) 494-1044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125081036
IL
208D00000X
General Practice Physician
Primary
339214
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
11/19/2023
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