Organization
NOLA CENTRAL CITY CLINIC
Active
Other names
NOLA Central City Clinic, NOLA Central City Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUINA WILLAIMS MBA (CEO)
(504) 952-0844
Entity
Organization
Contact information
Practice address
1301 SIMON BOLIVAR AVE APT 227, NEW ORLEANS, LA 70113-2272
(504) 952-0844
Mailing address
1301 SIMON BOLIVAR AVE APT 227, NEW ORLEANS, LA 70113-2272
(504) 952-0844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363L00000X
—
LA
Enumeration date
06/25/2019
Last updated
01/17/2020
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