Individual
DR. JONATHAN LANCE BABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, BRENT HOUSE ROOM 634, NEW ORLEANS, LA 70121
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.206993
LA
2086S0102X
Surgical Critical Care Physician
MD.206993
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2012
Last updated
08/01/2018
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