Individual
ILANA S. FORTGANG
Active
Individual
ILANA S. FORTGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
023358
LA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD.023358
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1499617
—
LA
Enumeration date
01/04/2007
Last updated
06/13/2016
Update your record
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