Organization
EAST JEFFERSON PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BEAUPRE (DIRECTOR)
(504) 503-6783
Entity
Organization
Contact information
Practice address
LCMC PAYOR ENROLLMENT, 1100 POYDRAS ST, SUITE 2500, NEW ORLEANS, LA 70163-1101
(504) 527-9953
(504) 527-9950
Mailing address
LCMC PAYOR ENROLLMENT, 1100 POYDRAS ST, SUITE 2500, NEW ORLEANS, LA 70163-1101
(504) 527-9953
(504) 527-9950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337951
—
LA
01
—
DF2307
RAILROAD MEDICARE
LA
Enumeration date
09/10/2007
Last updated
05/30/2024
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