Provider First Line Business Practice Location Address:
1542 TULANE AVENUE, ROOM 353
Provider Second Line Business Practice Location Address:
LSU HEALTH SCIENCES CENTER, DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-568-4647
Provider Business Practice Location Address Fax Number:
504-568-8955
Provider Enumeration Date:
05/20/2006