Individual
DR. PAUL VERRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8050 W JUDGE PEREZ DR STE 2300, CHALMETTE, LA 70043-1738
(504) 826-9655
(504) 826-9656
Mailing address
PO BOX 1536, MANDEVILLE, LA 70470-1536
(985) 635-6943
(985) 635-6948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD017364
LA
207R00000X
Internal Medicine Physician
Primary
017364
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017364
LA LICENSE
LA
05
—
1375471
—
LA
05
—
1444642
—
LA
05
—
2137689
—
LA
Enumeration date
08/21/2006
Last updated
06/24/2019
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