La Neurovantage, Llc | |
3705 Florida Ave Kenner LA 70065-3031 | |
(504) 262-8866 | |
Not Available |
Full Name | La Neurovantage, Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 3705 Florida Ave, Kenner, Louisiana |
Authorized Official Name and Position | Lyle J Schween (OWNER) |
Authorized Official Contact | 5042628890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
La Neurovantage, Llc 3001 Division St Ste 202 Metairie LA 70002-5855 Ph: (504) 262-8890 | La Neurovantage, Llc 3705 Florida Ave Kenner LA 70065-3031 Ph: (504) 262-8866 |
NPI Number | 1861212912 |
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Provider Enumeration Date | 10/14/2024 |
Last Update Date | 10/14/2024 |
Certification Date | 10/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861212912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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