Individual
DR. DAYNA LYNNETTE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-6850
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM.200045
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
1237
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05255090
—
MS
05
—
2155148
—
LA
Enumeration date
05/29/2009
Last updated
10/03/2011
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