| Fleur-de-lis Whole Healthcare Llc | |
|
1615 Poydras St Ste 1255 New Orleans LA 70112-1287 | |
| (504) 321-7404 | |
| (504) 399-0435 |
| Full Name | Fleur-de-lis Whole Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1615 Poydras St Ste 1255, New Orleans, Louisiana |
| Authorized Official Name and Position | Courtney Arianne Washington (OWNER) |
| Authorized Official Contact | 5046099734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fleur-de-lis Whole Healthcare Llc 1615 Poydras St Ste 1255 New Orleans LA 70112-1287 Ph: (504) 321-7404 | Fleur-de-lis Whole Healthcare Llc 1615 Poydras St Ste 1255 New Orleans LA 70112-1287 Ph: (504) 321-7404 |
| NPI Number | 1336759836 |
|---|---|
| Provider Enumeration Date | 08/09/2020 |
| Last Update Date | 01/13/2023 |
| Medicare PECOS PAC ID | 6305251125 |
|---|---|
| Medicare Enrollment ID | O20210209000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336759836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Courtney A Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003349648 PECOS PAC ID: 8628402096 Enrollment ID: I20200618001540 |
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