Krewe Of Kids, Llc | |
101 W Robert E Lee Blvd Ste 202 New Orleans LA 70124-2459 | |
(504) 226-5739 | |
(504) 322-2695 |
Full Name | Krewe Of Kids, Llc |
---|---|
Speciality | Pediatrics |
Location | 101 W Robert E Lee Blvd Ste 202, New Orleans, Louisiana |
Authorized Official Name and Position | Veronica Garibaldi Lewis (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 5046062098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Krewe Of Kids, Llc 101 W Robert E Lee Blvd Ste 202 New Orleans LA 70124-2459 Ph: (504) 226-5739 | Krewe Of Kids, Llc 101 W Robert E Lee Blvd Ste 202 New Orleans LA 70124-2459 Ph: (504) 226-5739 |
NPI Number | 1659886935 |
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Provider Enumeration Date | 12/07/2017 |
Last Update Date | 12/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659886935 | NPI | - | NPPES |
1508268 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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