Individual
CAROLYN BEACH DAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3939 HOUMA BLVD, SUITE 20, METAIRIE, LA 70006-2931
(504) 885-2121
(504) 885-2141
Mailing address
3939 HOUMA BLVD, SUITE 20, METAIRIE, LA 70006-2931
(504) 885-2121
(504) 885-2141
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
015254
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111022
—
MS
05
—
1330388
—
LA
Enumeration date
11/13/2007
Last updated
10/20/2016
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