Organization · Type 2 NPI
Premise Health of Louisiana Professional Medical Corporation
General Practice Physician · New Orleans, LA
NPI number
1083020762
Active
Practice location
5500 Chef Menteur Hwy
New Orleans, LA 70126-5036
Fax (504) 240-2467
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1083020762
Premise Health of Louisiana Professional Medical Corporation's National Provider Identifier is 1083020762, issued on Jul 2, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New Orleans, LA. The record was last updated on Feb 2, 2026.