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Individual

DR. TIFFANY LEE MIDDENDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM

Contact information

Practice address
6024 MAGAZINE ST, NEW ORLEANS, LA 70118-5824
(504) 459-2426
(504) 285-2226
Mailing address
6024 MAGAZINE ST, NEW ORLEANS, LA 70118-5824
(504) 459-2426
(504) 285-2226

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
324935
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
324935
LICENSE NUMBER
LA
01
LM 252
LICENSE NUMBER
CA
Enumeration date
12/07/2006
Last updated
11/01/2024
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