Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOLLEEN LICCIARDI, MD
ActivePediatrics · DESTREHAN, LA
Registration Details
- NPI Number
- 1629072558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2005 (20.883807633472 yrs)
- Last Updated
- Jan 7, 2011
- License
-
17300 (LA)
Practice Information
- Address
-
141 ORMOND CENTER CTDESTREHAN, LA, 700472548Browse LA providers · Browse ZIP 70047
- Phone
- 9857647337
- Fax
- 9857645333
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in DESTREHAN, LA
| Name | Credential | NPI |
|---|---|---|
| THOMAS BABIN | MD | 1811991748 |
| ALICIA CLEMENT DEPAULA | MD | 1073613022 |
| DR. KATHRYN WIGGINS MELANCON | MD | 1104567106 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.