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Individual

DANE MARIE HENDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-5300
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57.014836
OH
207L00000X
Anesthesiology Physician
Primary
MD.206666
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD.206666
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07238561
MS
05
2351761
LA
Enumeration date
08/28/2008
Last updated
05/11/2018
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