Healthcare Provider Details

I. General information

NPI: 1407903925
Provider Name (Legal Business Name): ALISON LEA STEWART MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 01/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4228 HOUMA BLVD STE 410
METAIRIE LA
70006-3021
US

IV. Provider business mailing address

4228 HOUMA BLVD STE 410
METAIRIE LA
70006-3021
US

V. Phone/Fax

Practice location:
  • Phone: 504-888-8854
  • Fax: 504-454-5001
Mailing address:
  • Phone: 504-888-8854
  • Fax: 504-454-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number025223
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: