Organization
LADY VIRGINIA LLC
Active
Other names
Lady Virginia Urgent Care, Lady Virginia Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIEMEZIE ONYEWUCHI MD (MEDICAL DIRECTOR)
(240) 475-7647
Entity
Organization
Contact information
Practice address
2601 TULANE AVE STE 615, NEW ORLEANS, LA 70119-7462
(504) 874-1181
Mailing address
2601 TULANE AVE STE 615, NEW ORLEANS, LA 70119-7462
(504) 874-1181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
07/23/2021
Last updated
11/08/2021
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