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Individual

LANEY JOSEPH CHOUEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11075 NICOLLE BLVD, AVONDALE, LA 70094-2939
(504) 569-0032
Mailing address
PO BOX 2340, MARRERO, LA 70073-2340
(504) 569-0032

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
MD.014568
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD.014568
LA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
06/27/2019
Last updated
06/27/2019
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