Organization
ON DEMAND MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MITCHELL LANGE FNP (PRESIDENT)
(504) 444-7742
Entity
Organization
Contact information
Practice address
4921 LENNOX BLVD, NEW ORLEANS, LA 70131-8362
(504) 444-7742
Mailing address
4921 LENNOX BLVD, NEW ORLEANS, LA 70131-8362
(504) 444-7742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO4838
LA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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