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Individual

ANDREA M GARAUDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 JUDGE TANNER BLVD, SUITE 302, COVINGTON, LA 70433-7503
(985) 809-5800
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
025622
LA
208000000X
Pediatrics Physician
Primary
MD.025622
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05628796
MS
05
1043991
LA
Enumeration date
10/14/2006
Last updated
04/18/2012
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