Organization
CHILDREN'S HOSPITAL
Active
Parent organization
LOUISIANA CHILDREN'S MEDICAL CENTER
Other names
Manning Family Children's
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA CHILDREN'S MEDICAL CENTER
Authorized official
LUCIO FRAGOUSO (CFO)
(504) 899-9511
Entity
Organization
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9511
(504) 896-2772
Mailing address
200 HNEY CLAY AVE, NEW ORLEANS, LA 70118
(504) 896-9511
(504) 896-2772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
256
LA
207P00000X
Emergency Medicine Physician
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080C0008X
Child Abuse Pediatrics Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1754480
—
LA
Enumeration date
07/21/2006
Last updated
03/06/2025
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