Wild, Laurianne G
Wild, Laurianne G is an sole proprietor health care provider with primary practice located at 1430 Tulane Ave Sl57, New Orleans LA 70112-2632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Wild, Laurianne G can be contacted via phone (504) 988-5584.Contact Information
Primary practice address
1430 Tulane Ave Sl57
New Orleans LA 70112-2632
Phone: (504) 988-5584
Fax: (504) 988-3686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD.021069 | Louisiana |
Profile Details
| NPI number | 1902824063 |
|---|---|
| LBN Legal business name | Wild, Laurianne G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 27th, 2011 - 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 | 1902824063 | NPPES |
| Louisiana | MEDICAID | 1991759 |
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