Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 07136R | LA |
NPI | 1205878006 |
---|---|
Provider Name | Dr. Michele M Zembo |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70118-5720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 16/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1250878006 | NPI (01) | LA |
1361020 | (05) | LA |
B63378 | (02) |