Individual
DR. JEANETTE HENRIETTE MAGNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-2300
(504) 988-7144
Mailing address
1430 TULANE AVE, TW22, NEW ORLEANS, LA 70112-2632
(504) 988-2300
(504) 988-7144
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
15064R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172405
—
LA
Enumeration date
12/20/2006
Last updated
02/24/2010
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