Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 323988 | LA |
Y | 2080P0204X | Pediatric Emergency Doctor | 323988 | LA |
NPI | 1013250521 |
---|---|
Provider Name | Lydia Michelle Rabon |
First Address | New Orleans, LA 70118-5798 |
Second Address | New Orleans, LA 70118-5798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 02/12/2020 |