Individual
DR. LEAH ALEXIS DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 894-5338
(504) 896-3982
Mailing address
1621 COLISEUM ST, NEW ORLEANS, LA 70130-4403
(504) 250-7229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.205328
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05755532
—
MS
05
—
1971723
—
LA
Enumeration date
04/29/2009
Last updated
05/19/2020
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