Integrated Dermatology of Ponchatoula, LLC
NPI #1508234600 in Ponchatoula, Louisiana
Provider Information
- NPI Number
- 1508234600
- Entity Type
- Organization
- Organization Name
- Integrated Dermatology of Ponchatoula, LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Sep 4, 2015
- Last Updated
- May 21, 2019
Practice Location
- Address
- 180 N 5TH ST
- City
- Ponchatoula
- State
- Louisiana
- ZIP Code
- 70454-2532
- Phone
- (985) 370-7546
Authorized Official
- Name
- JEFFREY QUEEN
- Title
- MANAGER
- Phone
- (561) 314-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Robert W Benson, M.D. | |
| DR. Falon Victoria Brown, D.O. | |
| DR. Lee Hoye Grafton, M.D. | |
| DR. Martin D. Claiborne III, MD |
Organizations
| Provider Name | |
|---|---|
| Bensons Dermatology & Skin Cancer |
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