Organization
MEDICAL CREATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA IVANOVA MD (PRESIDENT)
(646) 644-7303
Entity
Organization
Contact information
Practice address
2424 WILLIAMS BLVD, SUITE J, KENNER, LA 70062-5763
(646) 644-7303
Mailing address
2424 WILLIAMS BLVD, SUITE J, KENNER, LA 70062-5763
(646) 644-7303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD203355
LA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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