Individual
DR. JACQUELINE MARIE MAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3525 PRYTANIA ST, SUITE 606, NEW ORLEANS, LA 70115-8109
(504) 899-1513
(504) 897-8637
Mailing address
3525 PRYTANIA ST, SUITE 606, NEW ORLEANS, LA 70115-8109
(504) 899-1513
(504) 897-8637
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD.205212
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1925578
—
LA
Enumeration date
05/07/2009
Last updated
02/19/2019
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