Individual
MITCHELL DAVID LIRTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2730 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5904
(337) 988-1585
(337) 981-9624
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
05615R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1672262
—
LA
01
—
780000943
RR MEDICARE
LA
Enumeration date
07/07/2005
Last updated
02/13/2009
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