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Individual

DR. SUSAN ELLEN LEWIS ABDALIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
611 N RAMPART ST, NEW ORLEANS, LA 70112-3505
(504) 584-1112
(504) 584-1183
Mailing address
1430 TULANE AVE, TW22, NEW ORLEANS, LA 70112-2632
(504) 988-2300
(504) 988-8886

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015231
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1372480
LA
01
53878
MEDICARE - PART B
LA
Enumeration date
09/27/2006
Last updated
07/21/2011
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