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General NPI Number Information
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NPI Number | 1902369317
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Entity Type | Organization
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Legal Business Name | UNITEDHEALTHCARE OF LOUISIANA, INC.
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3838 N. CAUSEWAY BLVD. SUITE 2600
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-849-3521
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Fax | 504-849-3570
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Provider Business Mailing Address
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Address Line | 3838 N. CAUSEWAY BLVD. SUITE 2600
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-849-3521
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Fax | 504-849-3570
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER (C&S)
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Name | MR. SCOTT D WAULTERS
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Credential |
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Telephone | 856-479-9819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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