Individual
MICHELE LISETTE LARROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3930
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3930
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD026013
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08431790
—
MS
05
—
1055557
—
LA
Enumeration date
01/26/2007
Last updated
03/05/2013
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