Individual
MICHAEL IACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 347-5511
Mailing address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-2243
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.208202
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2014
Last updated
05/16/2018
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