Individual
DR. MICHAEL L HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 BELANGER ST, SUITE 208, HOUMA, LA 70360-4463
(985) 872-6210
(985) 876-7743
Mailing address
3525 PRYTANIA ST, STE 526, NEW ORLEANS, LA 70115-8127
(985) 872-6210
(985) 876-7743
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
33315
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571431
—
LA
01
—
P00385330
RAILROAD MEDICARE
LA
Enumeration date
07/20/2006
Last updated
04/13/2017
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