Organization
EXECUTIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRIE M METZLER M.D. (OWNER)
(504) 309-4600
Entity
Organization
Contact information
Practice address
701 POYDRAS ST, SUITE 104, NEW ORLEANS, LA 70139-6001
(504) 309-4600
Mailing address
27 FAIRWAY OAKS DR, NEW ORLEANS, LA 70131-3339
(504) 309-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.024822
LA
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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