Organization
MD2U LOUISIANA LLC
Active
Parent organization
MD2U MANAGEMENT LLC
Other names
MD2U THE LEADER IN MEDICAL HOUSE CALLS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD2U MANAGEMENT LLC
Authorized official
GREGORY D LATTA (CIO)
(502) 416-1851
Entity
Organization
Contact information
Practice address
201 SAINT CHARLES AVE, STE. 2500, NEW ORLEANS, LA 70170-1000
(866) 460-3567
(502) 742-3767
Mailing address
PO BOX 7219, LOUISVILLE, KY 40257-0219
(502) 327-9410
(502) 742-3767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D2045836
CLIA - CERTIFICATE OF WAIVER
LA
Enumeration date
02/19/2011
Last updated
09/25/2012
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