Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD.013441 | LA |
N | 208000000X | Pediatrician | 013441 | LA |
NPI | 1558383570 |
---|---|
Provider Name | Yves Lacassie |
First Address | New Orleans, LA 70118-5720 |
Second Address | New Orleans, LA 70118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 03/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00015230 | (05) | MS |
1364398 | (05) | LA |
B63827 | (02) |