Depaula, Alicia Clement

Depaula, Alicia Clement is an individual health care provider with primary practice located at 1970 Ormond Blvd. Suite J, Destrehan LA 70047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Depaula, Alicia Clement can be contacted via phone (504) 842-2980.

Contact Information

Primary practice address
1970 Ormond Blvd. Suite J Destrehan LA 70047
Phone: (504) 842-2980
Fax: (504) 842-2989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19225 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.202801 Louisiana

Profile Details

NPI number 1073613022
LBN Legal business name Depaula, Alicia Clement
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073613022 NPPES
Louisiana MEDICAID 1302384
Louisiana MEDICAID 09573718

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