| Avala Physician Network, Llc | |
|
19065 Dr John Lambert Dr Ste 2000a Hammond LA 70403-0997 | |
| (985) 892-8934 | |
| (985) 801-3099 |
| Full Name | Avala Physician Network, Llc |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 19065 Dr John Lambert Dr Ste 2000a, Hammond, Louisiana |
| Authorized Official Name and Position | Christopher Daniel (PRESIDENT) |
| Authorized Official Contact | 9858099888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avala Physician Network, Llc 19065 Dr John Lambert Dr Ste 2000 Hammond LA 70403-1027 Ph: (225) 610-7054 | Avala Physician Network, Llc 19065 Dr John Lambert Dr Ste 2000a Hammond LA 70403-0997 Ph: (985) 892-8934 |
| NPI Number | 1497349815 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497349815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
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