Organization
LMAMON MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKISHA MAMON MD (PHYSICIAN/MANAGER)
(504) 723-3132
Entity
Organization
Contact information
Practice address
3909 BIENVILLE ST, SUITE 102, NEW ORLEANS, LA 70119-5151
(504) 486-0020
Mailing address
3909 BIENVILLE ST, SUITE 102, NEW ORLEANS, LA 70119-5151
(504) 486-0020
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
026572
LA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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