Organization
LOUISIANA ACADEMIC HEALTH NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JONES MD (MEDICAL DIRECTOR)
(504) 503-0036
Entity
Organization
Contact information
Practice address
5552 READ BLVD, NEW ORLEANS, LA 70127
(504) 373-6264
Mailing address
3333 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-6142
(504) 324-7790
(504) 324-7791
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
MD203855
LA
261QS1000X
Student Health Clinic/Center
Primary
MD203855
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093840
—
LA
Enumeration date
05/23/2018
Last updated
03/05/2024
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