Healthcare Provider Details

I. General information

NPI: 1366784159
Provider Name (Legal Business Name): DARLONDA HARRIS M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLONDA REYNAUD

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 S MORRISON BLVD
HAMMOND LA
70403-5742
US

IV. Provider business mailing address

117 RIVER POINT DR
DESTREHAN LA
70047-4008
US

V. Phone/Fax

Practice location:
  • Phone: 985-230-5800
  • Fax: 985-230-5859
Mailing address:
  • Phone: 985-764-6748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number304413
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number304413
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: