Organization
NORTHLAKE NEPHROLOGY PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA INMAN MD (MD)
(985) 867-8585
Entity
Organization
Contact information
Practice address
1970 N HIGHWAY 190, COVINGTON, LA 70433-5158
(985) 867-8585
(985) 867-3644
Mailing address
1970 N HIGHWAY 190, COVINGTON, LA 70433-5158
(985) 867-8585
(985) 867-3644
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD.207725
LA
Other
Enumeration date
06/06/2016
Last updated
06/20/2018
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