Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MD.10651R | LA |
NPI | 1013087360 |
---|---|
Provider Name | Urszula Laszkiewicz Moroz |
First Address | New Orleans, LA 70131-8658 |
Second Address | New Orleans, LA 70112-1262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |