Individual
DR. HERMAN LAROY TOLIVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 TULANE AVE, 6TH FLOOR, NEW ORLEANS, LA 70112-2600
(504) 988-5344
(504) 988-1569
Mailing address
1430 TULANE AVE, SL-45, NEW ORLEANS, LA 70112-2632
(504) 988-5346
(504) 988-1909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.202767
LA
207R00000X
Internal Medicine Physician
Primary
R5049
TX
207RN0300X
Nephrology Physician
MD.202767
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007374
—
LA
Enumeration date
08/05/2007
Last updated
05/20/2024
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