Individual
LAURA FOLSE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 210, KENNER, LA 70065-2489
(504) 842-7588
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50233
CO
207Q00000X
Family Medicine Physician
Primary
MD.208024
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03584777
—
MS
05
—
2401548
—
LA
Enumeration date
03/24/2009
Last updated
11/09/2015
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