Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 202322 | LA |
N | 207PP0204X | Pediatric Emergency Physician | 40110 | TN |
NPI | 1659368462 |
---|---|
Provider Name | Dr. Audrey H Le |
First Address | New Orleans, LA 70125-4243 |
Second Address | New Orleans, LA 70112-2600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 07/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1182605 | (05) | LA |
I40760 | (02) | TN |