Individual
CHRISTIE VIOLETTA DEGRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072
(504) 371-9355
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70154-4851
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD022236
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1483826
—
LA
Enumeration date
10/25/2006
Last updated
07/08/2007
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