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Individual

DR. KEITH LAMONT WINFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4626 ALCEE FORTIER BLVD STE D, NEW ORLEANS, LA 70129-2130
(504) 255-8665
(504) 254-6447
Mailing address
4626 ALCEE FORTIER BLVD STE D, NEW ORLEANS, LA 70129-2130
(504) 255-8665
(504) 254-6447

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024671
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1574325
LA
Enumeration date
06/10/2006
Last updated
04/26/2011
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