Wound & Limb Preservation Center La1 Llc | |
7311 Downman Rd New Orleans LA 70126-1213 | |
(504) 754-6951 | |
(504) 500-4564 |
Full Name | Wound & Limb Preservation Center La1 Llc |
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Speciality | General Practice |
Location | 7311 Downman Rd, New Orleans, Louisiana |
Authorized Official Name and Position | Sean D Newton (SR. PRESIDENT) |
Authorized Official Contact | 5047546951 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wound & Limb Preservation Center La1 Llc 201 Saint Charles Ave Ste 2500 New Orleans LA 70170-2500 Ph: (504) 754-6951 | Wound & Limb Preservation Center La1 Llc 7311 Downman Rd New Orleans LA 70126-1213 Ph: (504) 754-6951 |
NPI Number | 1184476780 |
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Provider Enumeration Date | 04/05/2024 |
Last Update Date | 05/11/2024 |
Medicare PECOS PAC ID | 4981045309 |
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Medicare Enrollment ID | O20240515003260 |
Identifier | Type | State | Issuer |
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1184476780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Denardo D Dunham |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609836055 PECOS PAC ID: 5395632509 Enrollment ID: I20110124000357 |
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