Individual
ANDRE RAOUL BEZOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4227 LAKESHORE DR, MANDEVILLE, LA 70448
(985) 892-8088
Mailing address
4227 LAKESHORE DR, MANDEVILLE, LA 70448
(985) 892-8088
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
013197
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1161179
—
LA
Enumeration date
03/08/2007
Last updated
07/08/2007
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