Organization
LSUHSC NEW ORLEANS PHYSICIANS
Active
Parent organization
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Other names
McDonogh 35 College Preparatory School-Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Authorized official
LEONE COE (ASSISTANT BUSINESS MANAGER)
(504) 896-2798
Entity
Organization
Contact information
Practice address
1331 KERLEREC ST, NEW ORLEANS, LA 70116-1819
(504) 947-3065
(504) 945-4968
Mailing address
433 BOLIVAR ST, NEW ORLEANS, LA 70112-7021
(504) 359-1120
(504) 861-1780
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
202226
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2195727
—
LA
Enumeration date
01/09/2012
Last updated
01/11/2013
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