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Organization

M'LISS HOGAN MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
M'LISS E. HOGAN M.D. (MANAGER/AGENT)
(985) 898-1106
Entity
Organization

Contact information

Practice address
110 LAKEVIEW DR, SUITE 100, COVINGTON, LA 70433-7511
(985) 898-1106
Mailing address
110 LAKEVIEW DR, SUITE 100, COVINGTON, LA 70433-7511
(985) 898-1106

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD.203311
LA

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
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