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Individual

DR. SUE A HAKE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM000116
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1473847
LA
Enumeration date
05/04/2006
Last updated
07/08/2007
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