Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 017892 | LA |
NPI | 1801987664 |
---|---|
Provider Name | Dr. Hans Andersson |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 04/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017892 | STATE LICENSE (01) | LA |
022601 | STATE NARCOTICS LICENSE (01) | LA |
1980447 | (05) | LA |
BA4031287 | DEA (01) | LA |
F1934 | (02) | LA |