Individual
ANNA KOPIECZEK LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-3900
(504) 842-0011
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
302057
LA
208000000X
Pediatrics Physician
P3186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01203240
—
MS
05
—
2426231
—
LA
Enumeration date
05/28/2008
Last updated
10/20/2016
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