Healthcare Provider Details

I. General information

NPI: 1043346315
Provider Name (Legal Business Name): MICHELE T LAGARDE-MAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 03/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 LAPALCO BLVD
MARRERO LA
70072-4338
US

IV. Provider business mailing address

5630 READ BLVD
NEW ORLEANS LA
70127-3106
US

V. Phone/Fax

Practice location:
  • Phone: 504-371-9355
  • Fax:
Mailing address:
  • Phone: 504-248-5357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.201092
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: