Provider First Line Business Practice Location Address:
NOAH- LSUHSC PSYCHIATRY
Provider Second Line Business Practice Location Address:
210 STATE STREET, RM. 3111S
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-896-2655
Provider Business Practice Location Address Fax Number:
504-897-4781
Provider Enumeration Date:
07/25/2006