Individual
DR. JENNIFER LUCY AVEGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1816 INDUSTRIAL BLVD, HARVEY, LA 70058-2314
(504) 366-7638
Mailing address
1816 INDUSTRIAL BLVD, HARVEY, LA 70058-2314
(504) 366-7638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25601
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-04249-8
—
LA
Enumeration date
07/22/2005
Last updated
09/14/2012
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