| Andre Raoul Bezou, M.d. | |
|
2727 Lakeshore Dr Mandeville LA 70448-5629 | |
| (985) 892-8088 | |
| Not Available |
| Full Name | Andre Raoul Bezou, M.d. |
|---|---|
| Speciality | Clinic/center |
| Location | 2727 Lakeshore Dr, Mandeville, Louisiana |
| Authorized Official Name and Position | Jonelle W Couch (BUSINESS MANAGER) |
| Authorized Official Contact | 5048875555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andre Raoul Bezou, M.d. 2727 Lakeshore Dr Mandeville LA 70448-5629 Ph: (985) 892-8088 | Andre Raoul Bezou, M.d. 2727 Lakeshore Dr Mandeville LA 70448-5629 Ph: (985) 892-8088 |
| NPI Number | 1235269135 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235269135 | NPI | - | NPPES |
| 1161179 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 013197 (Louisiana) | Primary |
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