Organization
LOUISIANA STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DOUGHTY (ADMINISTRATIVE COORDINATOR)
(504) 568-4682
Entity
Organization
Contact information
Practice address
2000 CANAL STREET, NEW ORLEANS, LA 70112-3018
(504) 702-3000
Mailing address
3316 44 B AVENUE, EDMONTON, AB T6T1E-8
(780) 440-0149
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
303413
LA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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