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Individual

BRENT LEWIS ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(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
308195
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/09/2008
Last updated
05/24/2018
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