Individual
PAIGE POCORELLO PREVOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 GRAVIER ST STE 602, NEW ORLEANS, LA 70112-2272
(504) 568-4006
Mailing address
2020 GRAVIER ST STE 602, NEW ORLEANS, LA 70112-2272
(504) 568-4006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
331992
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
12/04/2023
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