Dolleen Licciardi, MD in Destrehan, LA

Dolleen Licciardi, MD - Pediatrics in Destrehan, LA

Dolleen Licciardi, MD is a Pediatrics physician based in Destrehan, Louisiana. Dolleen Licciardi is licensed to practice in Louisiana (license number 17300) and her current practice location is 141 Ormond Center Ct, Destrehan, Louisiana. She can be reached at her office (for appointments etc.) via phone at (985) 764-7337.

NPI number for Dolleen Licciardi is 1629072558 and her current mailing address is 298 Henry Clay Ave, New Orleans, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629072558.

Contact Information

	Dolleen Licciardi, MD
	141 Ormond Center Ct, Destrehan, LA 70047-2548
	(985) 764-7337
	(985) 764-5333

Map and Direction

Physician's Profile

Full Name	Dolleen Licciardi
Gender	Female
Speciality	Pediatrics
Location	141 Ormond Center Ct, Destrehan, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1629072558
Provider Enumeration Date: 06/09/2005
Last Update Date: 01/07/2011

Medical Identifiers

Medical identifiers for Dolleen Licciardi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629072558	NPI	-	NPPES
1364045	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	17300 (Louisiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dolleen Licciardi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dolleen Licciardi, MD 298 Henry Clay Ave, New Orleans, LA 70118-5720 Ph: (504) 896-9827	Dolleen Licciardi, MD 141 Ormond Center Ct, Destrehan, LA 70047-2548 Ph: (985) 764-7337

Reviews and Comments

Pediatrics Doctors in Destrehan, LA

Alicia Clement Depaula, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1970 Ormond Blvd., Suite J, Destrehan, LA 70047 Phone: 504-842-2980 Fax: 504-842-2989
Thomas Babin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 141 Ormond Center Ct, Destrehan, LA 70047 Phone: 985-764-7337 Fax: 985-764-5333