Organization
LINDSAY YORK FANTACI, M.D., LLC
Active
Other names
Lindsay York, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSAY YORK FANTACI M.D. (MEMBER)
(504) 934-8333
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N803, MARRERO, LA 70072-3151
(504) 934-8333
(504) 934-8334
Mailing address
1111 MEDICAL CENTER BLVD, SUITE N803, MARRERO, LA 70072-3151
(504) 934-8333
(504) 934-8334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
026391
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060810
—
LA
Enumeration date
05/18/2011
Last updated
05/18/2011
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