Individual
DR. JOSEPH P LICCIARDI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3939 HOUMA BLVD, SUITE 18, METAIRIE, LA 70006-2931
(504) 455-0093
(504) 454-3964
Mailing address
3939 HOUMA BLVD, SUITE 18, METAIRIE, LA 70006-2931
(504) 455-0093
(504) 454-3964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
008884
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1094749
—
LA
Enumeration date
05/09/2006
Last updated
08/03/2010
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