Individual
DR. BRIAN LANGE PORCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 90121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-200554
LA
207P00000X
Emergency Medicine Physician
MD.200554
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02935049
—
MS
05
—
1-07351-2
—
LA
05
—
1073512
—
LA
Enumeration date
03/05/2007
Last updated
07/15/2013
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