Organization
PONTCHARTRAIN SLEEP MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN L DAVIS M.D. (MANAGER)
(985) 845-1799
Entity
Organization
Contact information
Practice address
802 W 10TH AVE STE 2, COVINGTON, LA 70433-2352
(985) 845-1799
(985) 845-9923
Mailing address
802 W 10TH AVE STE 2, COVINGTON, LA 70433-2352
(985) 237-0170
(985) 845-9923
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD.020713
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09171331
—
MS
05
—
1986429
—
LA
Enumeration date
05/04/2006
Last updated
11/20/2020
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