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Hammond Dermatology Center, Llc
Specialist in Hammond, Louisiana
NPI 1962582577

Hammond Dermatology Center, Llc is a Specialist based in Hammond, LA. Hammond Dermatology Center, Llc practices in Hammond, LA. The NPI Number for Hammond Dermatology Center, Llc is 1962582577 and holds a License No. 9020 (Louisiana).

The current practice location address for Hammond Dermatology Center, Llc is 15709 Professional Plz, Hammond, LA and can be reached out via phone at 985-542-9333 and via fax at 985-542-4988.

Location: 15709 Professional Plz, Hammond, LA, 70403-1452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962582577
Provider Name
Hammond Dermatology Center, Llc
Credential
Provider Entity Type
Organization
Address
15709 Professional Plz, Hammond, LA, 70403-1452
Phone Number
985-542-9333
Fax Number
985-542-4988
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4093595 01 LA AETNA PROVIDER #
439748825B 01 LA BLUE BROSS OF LA.
1443841 05 LA
institution
Provider Business Practice Location Address Details
Address
15709 Professional Plz
City
Hammond
State
Louisiana
Zip
70403-1452
Phone Number
985-542-9333
Fax Number
985-542-4988
person
Provider Business Mailing Address Details
Address
15709 Professional Plz
City
Hammond
State
Louisiana
Zip
70403-1452
Phone Number
985-542-9333
Fax Number
985-542-4988
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
9020 (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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