Individual
LISA MARIE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 SAINT CHARLES AVE, 5TH FLOOR, NEW ORLEANS, LA 70115-4637
(504) 412-1520
(504) 899-2866
Mailing address
3700 SAINT CHARLES AVE, 5TH FLOOR, NEW ORLEANS, LA 70115-4637
(504) 412-1520
(504) 899-2866
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
033672
GA
207V00000X
Obstetrics & Gynecology Physician
205673
LA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
205673
LA
Other
Enumeration date
09/23/2005
Last updated
07/23/2014
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