Individual
MRS. BROOKE MINER DISMUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4324
(504) 391-7337
(504) 398-7213
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
325714
LA
208000000X
Pediatrics Physician
43249
IA
208000000X
Pediatrics Physician
MD465276
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2013
Last updated
05/11/2021
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