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Individual

STEPHEN P LAGUARDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 MEDICAL CENTER BLVD, SUITE 613N, MARRERO, LA 70072-3151
(504) 349-6622
(504) 349-6621
Mailing address
1111 MEDICAL CENTER BLVD, SUITE 613N, MARRERO, LA 70072-3151
(504) 349-6622
(504) 349-6621

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
203293
LA
207RI0011X
Interventional Cardiology Physician
203293
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1893803
LA
Enumeration date
04/03/2007
Last updated
03/05/2015
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