Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 2019024448 | MO |
N | 207ND0101X | MOHS-Micrographic Surgeon | 2019024448 | MO |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 313274 | LA |
N | 207NS0135X | Procedural Dermatology | 2019024448 | MO |
NPI | 1396163721 |
---|---|
Provider Name | Nicholas Frank |
First Address | New Orleans, LA 70121-2429 |
Second Address | Baton Rouge, LA 70836-6455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 10/12/2019 |