Provider First Line Business Practice Location Address:
LSU OB/GYN CLINIC
Provider Second Line Business Practice Location Address:
2100 PERDIDO STREET
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:
504-903-8707
Provider Business Practice Location Address Fax Number:
504-903-1547
Provider Enumeration Date:
07/23/2006