Individual
DR. LOUIS OLIVER JEANSONNE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVENUE, BATON ROUGE, LA 70809
(225) 761-5470
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.201893
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08255762
—
MS
05
—
1325864
—
LA
Enumeration date
09/03/2006
Last updated
07/20/2010
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