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Individual

LAUREN MULLINS MUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1514 JEFFERSON HWY, OCHSNER MEDICAL CENTER PEDIATRIC EMERGENCY DEPARTMENT, JEFFERSON, LA 70121-0001
(866) 627-7637
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
303074
LA
208000000X
Pediatrics Physician
49242
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06738500
MS
05
2429493
LA
Enumeration date
05/18/2010
Last updated
04/25/2017
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