| Organization Name: | UNITED STATES COAST GUARD |
| NPI Number: | 1366611055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANSISCO LAGOVELEZ (MEDICAL OFFICER) |
| Mailing Address: | 13800 Old Gentilly Rd New Orleans |
| State: | LA US |
| Postal Code: | 701292218 |
| Phone Number: | 5042536506 |
| Fax Number: | 5042536532 |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |