Organization
LAKE PELICAN, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR ISMAIL M.D. (PSYCHIATRIST)
(504) 464-1021
Entity
Organization
Contact information
Practice address
4113 WILLIAMS BLVD, KENNER, LA 70065-2202
(504) 464-1021
(504) 464-1022
Mailing address
4113 WILLIAMS BLVD, KENNER, LA 70065-2202
(504) 464-1021
(504) 464-1022
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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