Individual
DR. MARADITH LYNN SKALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 S I 10 SERVICE RD W, METAIRIE, LA 70001-1210
(504) 780-8282
Mailing address
4740 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1244
(951) 315-8025
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
328460
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
35.133601
OH
390200000X
Student in an Organized Health Care Education/Training Program
35.133601
OH
Other
Enumeration date
05/28/2015
Last updated
08/24/2021
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