Individual
LAKISHA YVETTE MAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3909 BIENVILLE ST, SUITE 102, NEW ORLEANS, LA 70119-5151
(504) 486-0020
(504) 486-0023
Mailing address
3909 BIENVILLE ST, SUITE 102, NEW ORLEANS, LA 70119-5151
(504) 486-0020
(504) 486-0023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026572
LA
2084P0804X
Child & Adolescent Psychiatry Physician
026572
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063142
—
LA
Enumeration date
02/13/2007
Last updated
08/14/2012
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