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NPI Code Detail

MEDICARE: MR. LOUIS ANTHONY HOLT MSS, BA

MEDICARE: MR. LOUIS ANTHONY HOLT MSS, BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154889921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LOUIS ANTHONY HOLT MSS, BA
Provider Business Mailing Address
First Line : 3301 CANAL ST APT 1
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-6249
Country : US
Telephone Number : 504-644-2575
Fax Number : 504-644-2803
Provider Business Practice Location Address
First Line : 3301 CANAL ST APT 1
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-6249
Country : US
Telephone Number : 504-644-2575
Fax Number : 504-644-2803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2019
Last Update Date : 03/11/2019

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