Individual
LILLIAN FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04475
LA
367500000X
Certified Registered Nurse Anesthetist
RN070294
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01377251
—
MS
05
—
1463442
—
LA
Enumeration date
07/28/2006
Last updated
06/07/2016
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