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Pontchartrain Cancer Center
Specialist in Covington, Louisiana
NPI 1710286794

Pontchartrain Cancer Center is a Specialist based in Hammond, LA. Pontchartrain Cancer Center practices in Covington, LA. The NPI Number for Pontchartrain Cancer Center is 1710286794 and holds a License No. 22330 (Louisiana).

The current practice location address for Pontchartrain Cancer Center is 120 Lakeview Cir, Covington, LA and can be reached out via phone at 985-875-1202 and via fax at 985-875-1205.

Location: 120 Lakeview Cir, Covington, LA, 70403-1446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710286794
Provider Name
Pontchartrain Cancer Center
Credential
Provider Entity Type
Organization
Address
120 Lakeview Cir, Covington, LA, 70403-1446
Phone Number
985-875-1202
Fax Number
985-875-1205
Provider Enumeration Date
03/16/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1478377 05 LA
1883883 05 LA
1665878 05 LA
institution
Provider Business Practice Location Address Details
Address
120 Lakeview Cir
City
Covington
State
Louisiana
Zip
70433-7512
Phone Number
985-875-1202
Fax Number
985-875-1205
person
Provider Business Mailing Address Details
Address
120 Lakeview Cir
City
Covington
State
Louisiana
Zip
70433-7512
Phone Number
985-875-1202
Fax Number
985-875-1205
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22330 (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.
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