Individual
LOUIS H BEVROTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 S CARROLLTON AVE, NEW ORLEANS, LA 70118-4307
(504) 207-3060
Mailing address
P.O. BOX 4148, NEW ORLEANS, LA 70178-4148
(504) 207-3060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
011674
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011674
LA. MEDICAL #
LA
05
—
1135640
—
LA
Enumeration date
10/17/2006
Last updated
11/02/2012
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