| Lake Pelican, Apmc | |
|
4113 Williams Blvd Kenner LA 70065-2202 | |
| (504) 464-1021 | |
| (504) 464-1022 |
| Full Name | Lake Pelican, Apmc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4113 Williams Blvd, Kenner, Louisiana |
| Authorized Official Name and Position | Anwar Ismail (PSYCHIATRIST) |
| Authorized Official Contact | 5044641021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Pelican, Apmc 4113 Williams Blvd Kenner LA 70065-2202 Ph: (504) 464-1021 | Lake Pelican, Apmc 4113 Williams Blvd Kenner LA 70065-2202 Ph: (504) 464-1021 |
| NPI Number | 1295269876 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 04/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295269876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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