Organization
QUEEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE QUEEN M.D. (OWNER)
(985) 730-6394
Entity
Organization
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
Mailing address
71130 RIVERSIDE DR, COVINGTON, LA 70433-9024
(504) 701-5805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.203961
LA
Other
Enumeration date
03/14/2016
Last updated
09/12/2019
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