Organization · Type 2 NPI
South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Mandeville, LA
Practice location
1420 N Causeway Blvd
Mandeville, LA 70471-3104
Fax (985) 200-0840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 203549 (LA) |
| Facial Plastic Surgery Physician | 207YS0123X | 203549 (LA) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary | 207YX0007X | 203549 (LA) |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 203549 (LA) |
Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…
12 other providers at this address
- Century Oak Anesthesia, LLCCertified Registered Nurse Anesthetist Mandeville, LA NPI 1811371230
- Alison R. Palmer, CCSHHealth Educator Mandeville, LA NPI 1720569965
- James L. Connolly, MDFacial Plastic Surgery Physician Mandeville, LA NPI 1972589448
- Jason Morgan Guillot, MDOtolaryngology/Facial Plastic Surgery Physician Mandeville, LA NPI 1912126723
- Jonathan Edward Sorrel, MDOtolaryngology Physician Mandeville, LA NPI 1669812004
- Jordan Stratton Cruz, FNP-CFamily Nurse Practitioner Mandeville, LA NPI 1700235249
- Jorge Hugo Martinez Jr., AU.D.Audiologist Mandeville, LA NPI 1750699617
- Kayla Marcelle Degeorge, AU.D.Audiologist Mandeville, LA NPI 1215618681
- Marissa Rose Ledet Corneille, AUDAudiologist-Hearing Aid Fitter Mandeville, LA NPI 1518459833
- Matthew W. Cooper, MDOtolaryngology Physician Mandeville, LA NPI 1851787444
- Melanie Thibodeaux Liner, M.C.DAudiologist-Hearing Aid Fitter Mandeville, LA NPI 1699935569
- Rachel Fitzmorris Leblanc, AUDAudiologist Mandeville, LA NPI 1811275159
About NPI 1831402924
South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc's National Provider Identifier is 1831402924, issued on Jul 19, 2010. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Mandeville, LA. The record was last updated on Oct 10, 2025.