| Lsuhsc Medicine | |
|
2020 Gravier St New Orleans LA 70112-2272 | |
| (504) 568-3792 | |
| Not Available |
| Full Name | Lsuhsc Medicine |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2020 Gravier St, New Orleans, Louisiana |
| Authorized Official Name and Position | Jorge Martinez (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5045683930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsuhsc Medicine 3101 Cleary Ave Apt # 11 Metairie LA 70002-7308 Ph: (504) 261-1789 | Lsuhsc Medicine 2020 Gravier St New Orleans LA 70112-2272 Ph: (504) 568-3792 |
| NPI Number | 1912199670 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912199670 | NPI | - | NPPES |
| 1006831 | Other | LA | MEDICAID PRESCRIBER |
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