Lago, Theresa Kittelson

Lago, Theresa Kittelson is an individual health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lago, Theresa Kittelson can be contacted via phone (504) 896-9569.

Contact Information

Primary practice address
200 Henry Clay Ave New Orleans LA 70118-5720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X TEMP Louisiana

Profile Details

NPI number 1912051624
LBN Legal business name Lago, Theresa Kittelson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jan 26th, 2009 - 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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