Larroque, Michele Lisette

Larroque, Michele Lisette is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Larroque, Michele Lisette can be contacted via phone (504) 842-3930.

Contact Information

Primary practice address
1514 Jefferson Hwy New Orleans LA 70121-2429
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD026013 Louisiana

Profile Details

NPI number 1063568525
LBN Legal business name Larroque, Michele Lisette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Mar 5th, 2013 - about 11 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 1063568525 NPPES
Mississippi MEDICAID 08431790
Mississippi MEDICAID 1055557

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