Organization
HAWTHORNE PULMONARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L HAWTHORNE M.D. (OWNER)
(985) 872-6210
Entity
Organization
Contact information
Practice address
855 BELANGER ST, SUITE 208, HOUMA, LA 70360-4463
(985) 872-6210
(985) 876-7743
Mailing address
855 BELANGER ST, SUITE 208, HOUMA, LA 70360-4463
(985) 872-6210
(985) 876-7743
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
024538
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571431
—
LA
01
—
7162587
AETNA
LA
Enumeration date
09/25/2007
Last updated
11/19/2007
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