MEDICARE: OCHSNER CLINIC LLC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1861739328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCHSNER CLINIC LLC

Provider Business Mailing Address
First Line	:	PO BOX 58451
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70154-4851
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1731 LUTCHER AVE
Second Line	:
City	:	LUTCHER
State	:	LA
Zip	:	70071-5151
Country	:	US
Telephone Number	:	225-746-2930
Fax Number	:

Authorized Official
Title or Position	:	AVP
Name	:	KATHERINE K CARDWELL
Credential	:
Telephone Number	:	504-842-7208

Provider Enumeration Date	:	01/03/2013
Last Update Date	:	01/03/2013

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Directions to “OCHSNER CLINIC LLC ” Practice Location

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