Wild, Laurianne G

Wild, Laurianne G is an sole proprietor health care provider with primary practice located at 1430 Tulane Ave Sl57, New Orleans LA 70112-2632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Wild, Laurianne G can be contacted via phone (504) 988-5584.

Contact Information

Primary practice address
1430 Tulane Ave Sl57 New Orleans LA 70112-2632
Phone: (504) 988-5584
Fax: (504) 988-3686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD.021069 Louisiana

Profile Details

NPI number 1902824063
LBN Legal business name Wild, Laurianne G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902824063 NPPES
Louisiana MEDICAID 1991759

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