Organization
NORTHSTAR NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOPOLDO DEALVARE MD (MANAGING PARTNER)
(337) 233-3850
Entity
Organization
Contact information
Practice address
516 VEROT SCHOOL RD, LAFAYETTE, LA 70508-5026
(337) 233-3850
Mailing address
PO BOX 81082, LAFAYETTE, LA 70598-1082
(337) 233-3850
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
12/30/2014
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