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1518059146
THERESA LYNN DISE
NEW ORLEANS, LA
NPI
1518059146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 07313R)
Enumeration Date
2006-09-29
Last Update Date
2011-06-20
Business Address
Dr. THERESA LYNN DISE MD
200 BROADWAY ST SUITE 230
NEW ORLEANS, LA 70118-3557
Phone number: 504-988-9000
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Mailing Address
Dr. THERESA LYNN DISE MD
1430 TULANE AVE SL-37
NEW ORLEANS, LA 70112-2632
Phone number: 504-988-5001
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