Northshore Ent Clinic, LLC

NPI #1811996069 in Hammond, Louisiana

Provider Information

NPI Number
1811996069
Entity Type
Organization
Organization Name
Northshore Ent Clinic, LLC
Primary Specialty
Otolaryngology
Enumeration Date
Jul 19, 2005
Last Updated
Mar 14, 2008

Practice Location

Address
42401 PELICAN PROFESSIONAL PARK
ZIP Code
70403-2405
Phone
(985) 542-9155

Authorized Official

Name
NANCY R. MELLIN, M.D.
Title
OWNER
Phone
(985) 542-9155

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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