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Individual

JOSEPH PAUL DILEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403
(985) 542-6251
Mailing address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403
(985) 542-6251

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PD264R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1120707
LA
01
28584
LA CONTROL #
LA
01
7289375
AETNA US HEALTHCARE
LA
01
PD264R
DPM LICENSE #
LA
Enumeration date
06/30/2006
Last updated
04/20/2010
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