Healthcare Provider Details

I. General information

NPI: 1740596550
Provider Name (Legal Business Name): LUCINDA YOST PERRET CEP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2010
Last Update Date: 08/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 HOUMA BLVD
METAIRIE LA
70006-2970
US

IV. Provider business mailing address

5028 GLENDALE ST
METAIRIE LA
70006-2536
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-4145
  • Fax:
Mailing address:
  • Phone: 504-454-6286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License NumberCEP.CE0020
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: