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Individual

DR. LIONEL H HEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
309 GARDEN RD, RIVER RIDGE, LA 70123-2003
(504) 737-8243
Mailing address
309 GARDEN RD, RIVER RIDGE, LA 70123-2003
(504) 737-8243

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD.008984
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00122264
MS
05
1103195
LA
Enumeration date
05/05/2006
Last updated
04/18/2013
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