| NPI | 1275538803 |
|---|---|
| Former Legal Business Name | KORETZKY & CLAIBORNE LLC |
| Entity Type | Organization |
| Authorized Contact | MARTIN D CLAIBORNE Sole Owner 504-895-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA 101799) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2010-11-03 |