Healthcare Provider Details

I. General information

NPI: 1821185380
Provider Name (Legal Business Name): LAURENCE DURANTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 JEFFERSON HEIGHTS AVE
NEW ORLEANS LA
70121-3224
US

IV. Provider business mailing address

350 JEFFERSON HEIGHTS AVE
NEW ORLEANS LA
70121-3224
US

V. Phone/Fax

Practice location:
  • Phone: 504-913-8572
  • Fax: 504-309-2584
Mailing address:
  • Phone: 504-913-8572
  • Fax: 504-309-2584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number018097
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number018097
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: