Individual
MENONI IZE-IYAMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 CINCINNATI ST, DELHI, LA 71232-3007
(318) 878-5171
(318) 878-8638
Mailing address
407 CINCINNATI ST, DELHI, LA 71232-3007
(318) 878-5171
(318) 878-8638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023122
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023122
LICENSE
LA
05
—
1494682
—
LA
Enumeration date
02/17/2006
Last updated
04/28/2015
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