Individual
MICHELLE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3470
(504) 842-7372
Mailing address
3757 LAKE LYNN DR, GRETNA, LA 70056-8336
(504) 881-9020
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP07882
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02278707
—
MS
05
—
2373897
—
LA
Enumeration date
07/24/2014
Last updated
02/22/2016
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