Organization
MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE THOMAS M.D. (CHIEF EXECUTIVE OFFICER)
(504) 903-3332
Entity
Organization
Contact information
Practice address
1532 TULANE AVE, WEST PAVILION, NEW ORLEANS, LA 70112-2860
(504) 903-0905
(504) 903-0906
Mailing address
1532 TULANE AVE, WEST PAVILION, NEW ORLEANS, LA 70112-2860
(504) 903-0905
(504) 903-0906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4638-IR
LA
Other
Enumeration date
08/26/2005
Last updated
08/22/2020
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