Dolleen Licciardi
MD | Pediatrics | Female
Dolleen Licciardi, MD is a Destrehan, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dolleen Licciardi is
141 Ormond Center Ct, Destrehan, Louisiana - 70047-2548. She can be contacted on phone at
985-764-7337 and fax number 985-764-5333.
Dolleen Licciardi is a sole proprietor of her business.
NPI number (Unique professional ID) for Dolleen Licciardi is
1629072558 which was assigned by NPPES on 09 Jun, 2005 and it was last updated on 07 Jan, 2011.
Dolleen Licciardi license number is
17300 for Pediatrics (208000000X) in Louisiana.
Dolleen Licciardi is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dolleen Licciardi basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dolleen Licciardi |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dolleen Licciardi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 141 Ormond Center Ct
Destrehan, LA, 70047-2548
United States |
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| Phone Number : | 985-764-7337 |
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| Fax Number : | 985-764-5333 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629072558 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jun, 2005 |
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| Last Updated On : | 07 Jan, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dolleen Licciardi are as mentioned. Primary taxonomy code for Dolleen Licciardi, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 17300 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dolleen Licciardi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1364045 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 298 Henry Clay Ave
New Orleans, LA, 70118-5720
United States |
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| Phone Number : | 504-896-9827 |
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| Fax Number : | 504-894-5370 |
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Business Location:
Patients can refer following map for directions to
Dolleen Licciardi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.