Individual
DR. EDWARD JOSEPH LIRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 GAUSE BLVD, EMERGENCY ROOM, SLIDELL, LA 70458-2939
(985) 649-8542
Mailing address
1612 DEMOSTHENES ST, METAIRIE, LA 70005
(504) 250-1658
(210) 614-1722
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
23751
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346365
—
LA
01
—
F8683
BCBS
LA
Enumeration date
08/21/2006
Last updated
10/05/2012
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