Individual
GEORGIA LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3980
(504) 842-0041
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3980
(504) 842-0041
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
202323
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03071203
—
MS
05
—
1178497
—
LA
Enumeration date
05/07/2007
Last updated
02/07/2012
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