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LAURA A NICOSIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4338
(504) 371-9355
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.14671R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00126424
MS
05
1131997
LA
Enumeration date
07/12/2006
Last updated
11/17/2014
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