Individual
DR. LARRY G FERACHI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1810 LINDBERG DR STE 2100, SLIDELL, LA 70458-8160
(985) 649-2700
(985) 649-8488
Mailing address
1810 LINDBERG DR STE 2100, SLIDELL, LA 70458-8160
(985) 649-2700
(985) 649-8488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.208127
LA
207RC0000X
Cardiovascular Disease Physician
Primary
MD.208127
LA
207RC0000X
Cardiovascular Disease Physician
ME141809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2399845
—
LA
Enumeration date
06/29/2012
Last updated
01/26/2023
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