| |
555 Convention Center Blvd New Orleans LA 70130-1649 | |
(504) 533-6624 | |
(504) 533-6625 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 555 Convention Center Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 555 Convention Center Blvd New Orleans LA 70130-1649 Ph: (504) 533-6624 |
NPI Number | 1518198506 |
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Provider Enumeration Date | 08/07/2009 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
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1518198506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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