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NPI Code Detail

MEDICARE: L'ISSA L GATES MD

MEDICARE: L'ISSA L GATES MD
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
1208000000XPediatrics PhysicianMD.203004LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962697599
Entity Type Code : Individual
Provider Name (Legal Business Name) : L'ISSA L GATES MD
Provider Business Mailing Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2429
Country : US
Telephone Number : 504-391-7337
Fax Number : 504-398-7213
Provider Business Practice Location Address
First Line : 4225 LAPALCO BLVD
Second Line :
City : MARRERO
State : LA
Zip : 70072-4324
Country : US
Telephone Number : 504-391-7337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 06/07/2026

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Directions to “ L'ISSA L GATES MD” Practice Location

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