Avegno, Jennifer Lucy

Avegno, Jennifer Lucy is an sole proprietor health care provider with primary practice located at 1816 Industrial Blvd , Harvey LA 70058-2314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Avegno, Jennifer Lucy can be contacted via phone (504) 366-7638.

Contact Information

Primary practice address
1816 Industrial Blvd Harvey LA 70058-2314
Phone: (504) 366-7638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25601 Louisiana

Profile Details

NPI number 1326048174
LBN Legal business name Avegno, Jennifer Lucy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Sep 14th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326048174 NPPES
Louisiana MEDICAID 1-04249-8

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