Individual
MATTHEW LADOUCEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 296-2450
Mailing address
5525 W END BLVD, NEW ORLEANS, LA 70124-1848
(504) 296-2450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
203735
LA
363LF0000X
Family Nurse Practitioner
203735
LA
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
203735
LA
Other
Enumeration date
08/21/2019
Last updated
08/18/2024
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