Peacock, Lisa Marie

Peacock, Lisa Marie is an individual health care provider with primary practice located at 3700 Saint Charles Ave 5Th Floor, New Orleans LA 70115-4637. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Peacock, Lisa Marie can be contacted via phone (504) 412-1520.

Contact Information

Primary practice address
3700 Saint Charles Ave 5Th Floor New Orleans LA 70115-4637
Phone: (504) 412-1520
Fax: (504) 899-2866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 033672 Georgia
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 205673 Louisiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 205673 Louisiana

Profile Details

NPI number 1295721462
LBN Legal business name Peacock, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 23rd, 2014 - about 12 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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