Organization
LANDMARK MEDICAL OF LOUISIANA A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUY LE (CREDENTIALING COORDINATOR)
(657) 400-5180
Entity
Organization
Contact information
Practice address
1 GALLERIA BLVD STE 1420, METAIRIE, LA 70001-2082
(657) 400-5180
Mailing address
7755 CENTER AVE STE 630, HUNTINGTON BEACH, CA 92647-9152
(657) 400-5180
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
09/26/2019
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