Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 020897 | LA |
NPI | 1013913987 |
---|---|
Provider Name | John J Palopoli |
First Address | Covington, LA 70433-3359 |
Second Address | Covington, LA 70433-3359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 06/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1660027 | (05) | LA |
G03890 | (02) | LA |