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Individual

BROCK LINGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1430 TULANE AVENUE HC 73, NEW ORLEANS, LA 70112-2532
(504) 988-5904
(504) 988-2012
Mailing address
1430 TULANE AVENUE HC 73, NEW ORLEANS, LA 70112-2532
(504) 988-5904
(504) 988-2012

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/10/2023
Last updated
04/12/2023
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