Individual
DR. MAE M. DUMLAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1202 S. TYLER STREET, COVINGTON, LA 70433-2330
(985) 898-4194
(985) 898-4164
Mailing address
1202 S. TYLER STREET, COVINGTON, LA 70433-2330
(985) 898-4194
(985) 898-4164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205110
LA
207R00000X
Internal Medicine Physician
37211
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320528
—
AZ
Enumeration date
09/04/2007
Last updated
03/27/2012
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