Individual
DR. PATRICK LYONS BONNEVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GALLERIA BLVD STE 100, METAIRIE, LA 70001-7597
(504) 833-0111
Mailing address
8155 JEFFERSON HWY APT 402, BATON ROUGE, LA 70809-1612
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
MD.202500
LA
207P00000X
Emergency Medicine Physician
MD.202500
LA
207P00000X
Emergency Medicine Physician
PGY.1.EKL-EMR
LA
Other
Enumeration date
06/23/2008
Last updated
02/02/2021
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