Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | DPM.200038 | LA |
Y | 222Z00000X | Podiatrist | DPM.200038 | LA |
NPI | 1023384955 |
---|---|
Provider Name | Dr. Celia Lee Storey |
First Address | Metairie, LA 70006-2931 |
Second Address | Metairie, LA 70006-2931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2012 |
Last Update Date | 26/03/2012 |