Individual
MICA GOULBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1140 CALHOUN ST, NEW ORLEANS, LA 70118-5962
(504) 896-9827
Mailing address
1100 POYDRAS ST, NEW ORLEANS, LA 70163-1101
(504) 527-9952
(504) 527-9950
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
346102
LA
Other
Enumeration date
03/25/2019
Last updated
08/07/2025
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