Individual
MRS. SARAH ELIZABETH PIVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
441 WALL BLVD, GRETNA, LA 70056
(504) 371-6550
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD201792
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09175589
—
MS
05
—
1072982
—
LA
01
—
P00980779
MCARE RR
LA
Enumeration date
05/14/2008
Last updated
12/15/2011
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