Dolleen Licciardi, MD

NPI #1629072558 in Destrehan, Louisiana

Provider Information

NPI Number: 1629072558
Entity Type: Individual
Name: Dolleen Licciardi, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jun 9, 2005
Last Updated: Jan 7, 2011

Practice Location

Address: 141 ORMOND CENTER CT
City: Destrehan
State: Louisiana
ZIP Code: 70047-2548
Phone: (985) 764-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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