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Individual

MS. DIANE S MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3941 HOUMA BLVD STE 2B, METAIRIE, LA 70006-2920
(504) 456-9199
(504) 456-9602
Mailing address
720 CALHOUN STREET, NEW ORLEANS, LA 70118
(504) 237-6848

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
017304
LA
208D00000X
General Practice Physician
Primary
MD.017304
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1333981
LA
Enumeration date
11/22/2006
Last updated
07/21/2022
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