Lake Pelican, Apmc | |
4113 Williams Blvd Kenner LA 70065-2202 | |
(504) 464-1021 | |
(504) 464-1022 |
Full Name | Lake Pelican, Apmc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4113 Williams Blvd, Kenner, Louisiana |
Authorized Official Name and Position | Anwar Ismail (PSYCHIATRIST) |
Authorized Official Contact | 5044641021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake Pelican, Apmc 4113 Williams Blvd Kenner LA 70065-2202 Ph: (504) 464-1021 | Lake Pelican, Apmc 4113 Williams Blvd Kenner LA 70065-2202 Ph: (504) 464-1021 |
NPI Number | 1295269876 |
---|---|
Provider Enumeration Date | 04/20/2017 |
Last Update Date | 04/20/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295269876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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