Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | D0067315 | MD |
N | 207V00000X | Obstetrician & Gynecologist | MD.204938 | LA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD.204938 | LA |
NPI | 1316094295 |
---|---|
Provider Name | Leise R Knoepp |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121-2429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 31/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018481100 | (05) | MD |
05705894 | (05) | MS |
2165097 | (05) | LA |