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2121 Magazine St New Orleans LA 70130-5045 | |
(504) 522-9645 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 2121 Magazine St, New Orleans, Louisiana |
Authorized Official Name and Position | Lena Sendik (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5045229645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2121 Magazine St New Orleans LA 70130-5045 Ph: (504) 522-9645 | 2121 Magazine St New Orleans LA 70130-5045 Ph: (504) 522-9645 |
NPI Number | 1265851463 |
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Provider Enumeration Date | 04/15/2014 |
Last Update Date | 04/15/2014 |
Identifier | Type | State | Issuer |
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1265851463 | NPI | - | NPPES |
32614 | Other | LA | OCCUPATIONAL LICENSE |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 32614 (Louisiana) | Primary |
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