Individual
DR. CORNEL JOSEPH JEANSONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 LINDBERG DR, SLIDELL, LA 70458-8056
(985) 781-7337
(985) 781-7339
Mailing address
1430 LINDBERG DR, SLIDELL, LA 70458-8056
(985) 781-7337
(985) 781-7339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD014412
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347671
—
LA
Enumeration date
07/19/2006
Last updated
05/26/2011
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