INTEGRATED DERMATOLOGY OF PONCHATOULA, LLC

Dermatology

Active Organization
NPI: 1508234600

Practice Address

180 N 5TH ST
Ponchatoula, LA 70454

Phone: (985) 370-7546

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes -

Frequently Asked Questions

NPI 1508234600 is the National Provider Identifier for INTEGRATED DERMATOLOGY OF PONCHATOULA, LLC, a Dermatology provider located in Ponchatoula, LA. This NPI was enumerated on September 4, 2015.

Quick Facts

NPI
1508234600
Type
Organization
Enumerated
Sep 4, 2015
Last Updated
May 21, 2019