Individual
LILLIAN MAE GUTTUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
235810
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2021
Last updated
07/03/2024
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