Dr. Theresa Lynn Dise
MD | Pediatrics | Female
Dr. Theresa Lynn Dise, MD is a New Orleans, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Theresa Lynn Dise is
200 Broadway St, Suite 230, New Orleans, Louisiana - 70118-3557. She can be contacted on phone at
504-988-9000 and fax number 504-988-9099.
Dr. Theresa Lynn Dise is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Theresa Lynn Dise is
1518059146 which was assigned by NPPES on 29 Sep, 2006 and it was last updated on 20 Jun, 2011.
Dr. Theresa Lynn Dise license number is
07313R for Pediatrics (208000000X) in Louisiana.
Dr. Theresa Lynn Dise 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:
Dr. Theresa Lynn Dise basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Theresa Lynn Dise |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Theresa Lynn Dise 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 : | 200 Broadway St, Suite 230
New Orleans, LA, 70118-3557
United States |
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| Phone Number : | 504-988-9000 |
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| Fax Number : | 504-988-9099 |
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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 : | 1518059146 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Sep, 2006 |
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| Last Updated On : | 20 Jun, 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 Dr. Theresa Lynn Dise are as mentioned. Primary taxonomy code for Dr. Theresa Lynn Dise, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 07313R | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Theresa Lynn Dise such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1378291 | 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 : | 1430 Tulane Ave, Sl-37
New Orleans, LA, 70112-2632
United States |
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| Phone Number : | 504-988-5001 |
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| Fax Number : | 504-988-9099 |
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Business Location:
Patients can refer following map for directions to
Dr. Theresa Lynn Dise practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.