| Medical Creations Llc | |
|
2424 Williams Blvd Suite J Kenner LA 70062-5763 | |
| (646) 644-7303 | |
| Not Available |
| Full Name | Medical Creations Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2424 Williams Blvd, Kenner, Louisiana |
| Authorized Official Name and Position | Yelena Ivanova (PRESIDENT) |
| Authorized Official Contact | 6466447303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Creations Llc 2424 Williams Blvd Suite J Kenner LA 70062-5763 Ph: (646) 644-7303 | Medical Creations Llc 2424 Williams Blvd Suite J Kenner LA 70062-5763 Ph: (646) 644-7303 |
| NPI Number | 1982912317 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 09/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982912317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD203355 (Louisiana) | Primary |
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