Healthcare Provider Details
I. General information
NPI: 1154326767
Provider Name (Legal Business Name): LAURENCE MICHAEL MAY, MD, APMC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2005
Last Update Date: 07/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15790 PAUL VEGA MD DR
HAMMOND LA
70403-1434
US
IV. Provider business mailing address
PO BOX 1516
HAMMOND LA
70404-1516
US
V. Phone/Fax
- Phone: 985-345-8867
- Fax: 504-542-5322
- Phone: 985-345-8867
- Fax: 504-542-5322
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 012856 |
| License Number State | LA |
VIII. Authorized Official
Name: DR.
LAURENCE
M.
MAY
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 985-345-8867