Healthcare Provider Details
I. General information
NPI: 1043891211
Provider Name (Legal Business Name): MORGAN M LAHAYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2021
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8128 FLORIDA BLVD
DENHAM SPRINGS LA
70726-7865
US
IV. Provider business mailing address
6429 W END BLVD
NEW ORLEANS LA
70124-2025
US
V. Phone/Fax
- Phone: 225-791-8666
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: