Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 023660 | LA |
Y | 208000000X | Pediatrician | MD.023660 | LA |
NPI | 1013030238 |
---|---|
Provider Name | Michelle Genet |
First Address | New Orleans, LA 70121-2429 |
Second Address | Metairie, LA 70006-5210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04652266 | (05) | MS |
1484199 | (05) | LA |
H24973 | (02) |