Mamon, Lakisha Yvette

Mamon, Lakisha Yvette is an individual health care provider with primary practice located at 3909 Bienville St Suite 102, New Orleans LA 70119-5151. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Mamon, Lakisha Yvette can be contacted via phone (504) 486-0020.

Contact Information

Primary practice address
3909 Bienville St Suite 102 New Orleans LA 70119-5151
Phone: (504) 486-0020
Fax: (504) 486-0023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 026572 Louisiana
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 026572 Louisiana

Profile Details

NPI number 1043352453
LBN Legal business name Mamon, Lakisha Yvette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 14th, 2012 - about 14 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 1043352453 NPPES
Louisiana MEDICAID 1063142

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