Organization
FOREVER KID PEDIATRIC PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH LUZ LINARES MD (OWNER)
(504) 461-2224
Entity
Organization
Contact information
Practice address
3321 FLORIDA AVE, KENNER, LA 70065
(504) 461-2224
(504) 461-2226
Mailing address
3321 FLORIDA AVE, KENNER, LA 70065-3680
(504) 461-2224
(504) 461-2226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
07446R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1373303
—
LA
Enumeration date
08/03/2017
Last updated
07/21/2022
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