Organization
NORTHLAKE PULMONARY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD A KUEBEL M.D. (OWNER)
(985) 892-9143
Entity
Organization
Contact information
Practice address
1203 S TYLER ST, SUITE 200, COVINGTON, LA 70433-2353
(985) 892-9143
(985) 892-9656
Mailing address
1203 S TYLER ST, SUITE 200, COVINGTON, LA 70433-2353
(985) 892-9143
(985) 892-9656
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1943223
—
LA
Enumeration date
05/08/2006
Last updated
02/13/2013
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