Individual
LETONNA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3460
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.207581
LA
208100000X
Physical Medicine & Rehabilitation Physician
10292
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40456300
—
WI
Enumeration date
06/22/2005
Last updated
04/16/2018
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