Organization
LOUISIANA AVENUE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY M EVANS JR. M.D. (PRESIDENT / MEDICAL DIRECTOR)
(504) 284-3866
Entity
Organization
Contact information
Practice address
4301 ELYSIAN FIELDS AVENUE, NEW ORLEANS, LA 70122-7404
(504) 284-3866
(504) 284-3869
Mailing address
4301 ELYSIAN FIELDS AVENUE, NEW ORLEANS, LA 70122-7404
(504) 284-3866
(504) 284-3869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012410
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942421
—
LA
Enumeration date
06/07/2006
Last updated
09/12/2012
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