Organization
CENLA DERMATOLOGY
Active
Organization
CENLA DERMATOLOGY
Active
Other names
Cenla Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARTINEZ (COORDINATOR)
(615) 424-5357
Entity
Organization
Contact information
Practice address
1587 N BOLTON AVE STE 1300, ALEXANDRIA, LA 71303-4255
(318) 933-3376
(318) 933-3377
Mailing address
1587 N BOLTON AVE STE 1300, ALEXANDRIA, LA 71303-4255
(615) 424-5357
(318) 933-3377
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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