institution
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. You can also correspond with Hammond Dermatology Center, Llc through the mailing address at 15709 PROFESSIONAL PLZ, HAMMOND, LA - 70403-1452 (mailing address contact number: 985-542-9333).

Location: 15709 Professional Plz, Hammond, LA, 70403-1452
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
State
Zip
70403-1452
Phone Number
985-542-9333
Fax Number
985-542-4988
person
Provider Business Mailing Address Details
Address
15709 Professional Plz
City
State
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
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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