Individual
ALICIA CLEMENT DEPAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1970 ORMOND BLVD., SUITE J, DESTREHAN, LA 70047
(504) 842-2980
(504) 842-2989
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19225
MS
208000000X
Pediatrics Physician
Primary
MD.202801
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09573718
—
MS
05
—
1302384
—
LA
Enumeration date
09/22/2006
Last updated
02/24/2010
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