Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | DO.000121 | LA |
N | 207R00000X | Internist | DO.000121 | LA |
N | 111NI0900X | Internist | DO.000121 | LA |
N | 208000000X | Pediatrician | DO.000121 | LA |
NPI | 1013108463 |
---|---|
Provider Name | Tammy Harvey |
First Address | Metairie, LA 70002-3421 |
Second Address | Metairie, LA 70002-3421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 22/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1217085 | (05) | LA |