Organization
T & G DERMATOLOGY APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOEL S LIPPINCOTT (INSURANCE BILLING MANAGER)
(504) 454-2997
Entity
Organization
Contact information
Practice address
3800 HOUMA BLVD, SUITE 310, METAIRIE, LA 70006-4182
(504) 454-2997
(504) 456-5939
Mailing address
3800 HOUMA BLVD, SUITE 310, METAIRIE, LA 70006-4182
(504) 454-2997
(504) 456-5939
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
010404
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120421
—
LA
05
—
1490709
—
LA
05
—
1491446
—
LA
Enumeration date
05/29/2008
Last updated
02/09/2021
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