Bazzano, Lydia Angela Louise
Bazzano, Lydia Angela Louise is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bazzano, Lydia Angela Louise can be contacted via phone (504) 842-7518.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-7518
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.200514 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.200514 | Louisiana |
Profile Details
| NPI number | 1083705768 |
|---|---|
| LBN Legal business name | Bazzano, Lydia Angela Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Apr 4th, 2016 - about 9 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 | 1083705768 | NPPES |
| Louisiana | MEDICAID | 1722774 | |
| Louisiana | MEDICAID | 00977348 |
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