Individual
JOHN LEO FACIANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1542 TULANE AVE # T4M2, NEW ORLEANS, LA 70112-2865
(504) 568-2577
Mailing address
1542 TULANE AVE # T4M2, NEW ORLEANS, LA 70112-2865
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
208100000X
LA
208D00000X
General Practice Physician
208D00000X
LA
Other
Enumeration date
04/20/2015
Last updated
08/07/2019
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