Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 018097 | LA |
NPI | 1821185380 |
---|---|
Provider Name | Laurence Durante |
First Address | New Orleans, LA 70121-3224 |
Second Address | New Orleans, LA 70121-3224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 17/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1980480 | (05) | LA |
E54708 | (02) | LA |