Licciardi, Dolleen
Licciardi, Dolleen is an individual health care provider with primary practice located at 141 Ormond Center Ct , Destrehan LA 70047-2548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Licciardi, Dolleen can be contacted via phone (985) 764-7337.Contact Information
Primary practice address
141 Ormond Center Ct
Destrehan LA 70047-2548
Phone: (985) 764-7337
Fax: (985) 764-5333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17300 | Louisiana |
Profile Details
| NPI number | 1629072558 |
|---|---|
| LBN Legal business name | Licciardi, Dolleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jan 7th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629072558 | NPPES |
| Louisiana | MEDICAID | 1364045 |
Popular Providers
-
Depaula, Alicia Clement
1970 Ormond Blvd. Suite J, Destrehan LA 70047 -
Perlstein, David Adam
4422 3Rd Ave , Bronx NY 10457-2545 -
Mclean, Ellen B.
4224 Houma Blvd Ste 240, Metairie LA 70006-2935 -
Mabry, Robert Timothy
2501 Kentucky Ave , Paducah KY 42003-3813 -
Frazier, Erin Richey
230 E Broadway , Louisville KY 40202-2026 -
Jewell-Mahler, Victoria
1600 Coraopolis Heights Rd Ste E, Moon Twp PA 15108-4316 -
Morgan, Claire C
5003 Hardy St , Hattiesburg MS 39402-1319 -
Sayat, Jonathan G
555 S Floyd St , Louisville KY 40202-3822