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14601 Old Gentilly Rd New Orleans LA 70129-2347 | |
(504) 254-8506 | |
(504) 254-8475 |
Full Name | |
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Speciality | General Practice |
Location | 14601 Old Gentilly Rd, New Orleans, Louisiana |
Authorized Official Name and Position | Jon 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 Suite 120 Brentwood TN 37027-4993 Ph: () - | 14601 Old Gentilly Rd New Orleans LA 70129-2347 Ph: (504) 254-8506 |
NPI Number | 1427464106 |
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Provider Enumeration Date | 07/02/2014 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
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1427464106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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