Individual
MRS. DIANE LORIA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2221 CLEARVIEW PKWY, SUITE 101, METAIRIE, LA 70001-2458
(504) 885-8363
(504) 885-1005
Mailing address
2221 CLEARVIEW PKWY, SUITE 101, METAIRIE, LA 70001-2458
(504) 885-8363
(504) 885-1005
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD10473R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49048
—
LA
Enumeration date
11/04/2005
Last updated
03/27/2008
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