Individual
DR. OWEN BERNARD LEFTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4601 WICHERS DR, MARRERO, LA 70072-3049
(504) 347-8434
(504) 347-9868
Mailing address
4601 WICHERS DR, MARRERO, LA 70072-3049
(504) 347-8434
(504) 347-9868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L015702
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350885
—
LA
Enumeration date
07/19/2005
Last updated
04/01/2008
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