Individual
BETTY PEYTI LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 205, KENNER, LA 70065-2489
(504) 412-1705
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09854R
LA
208000000X
Pediatrics Physician
09854R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07400536
—
LA
05
—
1986496
—
LA
Enumeration date
07/24/2006
Last updated
10/29/2008
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