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NPI Code Detail

MEDICARE: L3 CONSULTING, LLC

MEDICARE: L3 CONSULTING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center32614LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
132614OTHERLAOCCUPATIONAL LICENSE

General Provider Information

NPI Number : 1265851463
Entity Type Code : Organization
Provider Name (Legal Business Name) : L3 CONSULTING, LLC
Provider Business Mailing Address
First Line : 2121 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5045
Country : US
Telephone Number : 504-522-9645
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5045
Country : US
Telephone Number : 504-522-9645
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. LENA SENDIK
Credential :
Telephone Number : 504-522-9645
Provider Enumeration Date : 04/15/2014
Last Update Date : 04/15/2014

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Directions to “L3 CONSULTING, LLC ” Practice Location

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