person
Dwight Lawrence Mckenna, MD
General Practice Physician in New Orleans, Louisiana
NPI 1316056419

Dwight Lawrence Mckenna is a General Practice Physician based in New Orleans, LA. Dwight Lawrence Mckenna practices in New Orleans, LA and has the professional credentials of MD. The NPI Number for Dwight Lawrence Mckenna is 1316056419 and holds a License No. 03347R (Louisiana).

The current practice location address for Dwight Lawrence Mckenna is 1827 Gentilly Blvd, New Orleans, LA and can be reached out via phone at 504-943-1923 and via fax at 504-943-1933.

Location: 1827 Gentilly Blvd, New Orleans, LA, 70115-1554
person
Provider Profile Details
NPI Number
1316056419
Provider Name
Dwight Lawrence Mckenna
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1827 Gentilly Blvd, New Orleans, LA, 70115-1554
Phone Number
504-943-1923
Fax Number
504-943-1933
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
UP4206 01 LA UNITED HEALTHCARE
1129267 05 LA
F4229 01 LA BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1827 Gentilly Blvd
City
State
Zip
70119-2051
Phone Number
504-943-1923
Fax Number
504-943-1933
person
Provider Business Mailing Address Details
Address
1827 Gentilly Blvd
City
State
Zip
70119-2051
Phone Number
504-943-1923
Fax Number
504-943-1933
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD03347R (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
03347R (Louisiana)
Definition
Definition to come...
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