Individual
ALEXIS M WAGUESPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3939 HOUMA BLVD STE 18, METAIRIE, LA 70006-2921
(504) 392-7123
(504) 392-7823
Mailing address
3939 HOUMA BLVD STE 18, METAIRIE, LA 70006-2921
(504) 392-7123
(504) 392-7823
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD.09377R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1955884
—
LA
Enumeration date
06/27/2006
Last updated
02/07/2024
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