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Individual

DR. PETER JOSLYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8026 ELIZABETH LN, MANDEVILLE, LA 70448-7518
(985) 264-6987
Mailing address
8026 ELIZABETH LN, MANDEVILLE, LA 70448-7518
(985) 264-6987

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
308156
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
308156
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06523742
MS
05
2464876
LA
Enumeration date
03/25/2015
Last updated
05/02/2022
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