Individual
DEREK MACK DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 568-3130
Mailing address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 568-3130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
950872
LA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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