Individual
DR. LAWRENCE EDWARD MONTELIBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-3900
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
026014
LA
207K00000X
Allergy & Immunology Physician
Primary
MD.026014
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03474520
—
MS
05
—
1055875
—
LA
Enumeration date
05/08/2007
Last updated
11/20/2008
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