Individual
ELEANOR J DAVERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD024156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489298
—
LA
Enumeration date
06/19/2007
Last updated
09/19/2007
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