Mamon, Lakisha Yvette
Mamon, Lakisha Yvette is an individual health care provider with primary practice located at 3909 Bienville St Suite 102, New Orleans LA 70119-5151. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Mamon, Lakisha Yvette can be contacted via phone (504) 486-0020.Contact Information
Primary practice address
3909 Bienville St Suite 102
New Orleans LA 70119-5151
Phone: (504) 486-0020
Fax: (504) 486-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 026572 | Louisiana |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 026572 | Louisiana |
Profile Details
| NPI number | 1043352453 |
|---|---|
| LBN Legal business name | Mamon, Lakisha Yvette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Aug 14th, 2012 - about 13 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 | 1043352453 | NPPES |
| Louisiana | MEDICAID | 1063142 |
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