Individual
LIZA DI LEO THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
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.14044R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02676064
—
MS
05
—
1188115
—
LA
Enumeration date
07/10/2006
Last updated
07/16/2014
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