Organization Name: | OCHSNER CLINIC LLC |
NPI Number: | 1407251903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHERINE CARDWELL (AVP) |
Mailing Address: | 159 Longview Dr Ste C Destrehan |
State: | LA US |
Postal Code: | 700475076 |
Phone Number: | 9857647669 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |