Organization
MCCOMISKEY & VALLELUNGO, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER S VALLELUNGO (OWNER)
(985) 871-0070
Entity
Organization
Contact information
Practice address
604 W 13TH AVE, COVINGTON, LA 70433-3308
(985) 871-0070
(985) 871-0046
Mailing address
604 W 13TH AVE, COVINGTON, LA 70433-3308
(985) 871-0070
(985) 871-0046
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449393
—
LA
01
—
DE7701
RAILROAD MEDICARE
LA
Enumeration date
10/19/2005
Last updated
04/16/2025
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