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Individual

L'ISSA L GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4324
(504) 391-7337
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 391-7337
(504) 398-7213

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.203004
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02478034
MS
05
1005517
LA
Enumeration date
09/06/2007
Last updated
04/08/2016
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