Organization
KEITH J. CAPONE, MD, LLC
Active
Other names
Lakevista Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI DOTY (BOOKKEEPER/MANAGER)
(985) 626-0855
Entity
Organization
Contact information
Practice address
6517 SPANISH FORT BLVD, NEW ORLEANS, LA 70124-4321
(504) 283-7306
(504) 283-7308
Mailing address
6517 SPANISH FORT BLVD, NEW ORLEANS, LA 70124-4321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385999
—
LA
Enumeration date
11/12/2014
Last updated
02/17/2017
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