Individual
DR. LAURIANNE G WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1430 TULANE AVE, SL57, NEW ORLEANS, LA 70112-2632
(504) 988-5584
(504) 988-3686
Mailing address
1430 TULANE AVE, SL57, NEW ORLEANS, LA 70112-2632
(504) 988-5584
(504) 988-3686
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD.021069
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991759
—
LA
Enumeration date
07/17/2006
Last updated
09/27/2011
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