NPI 1528384773
Independence Emergency Group LLC
Practice location
- Address
- 4700 S I 10 Service Rd W, Metairie, LA 70001-1269
- Phone
- (504) 885-3333
- Mailing address
- 200 Corporate Blvd, Lafayette, LA 70508-3870
Authorised official
- Name
- Lisha C Falk
- Title
- Vp of Contracting
- Phone
- (337) 609-1221
Registered specialties (3)
Emergency Medicine Physician
Primary
Medical Physician Assistant
Nurse Practitioner
Registry record
- NPI
- 1528384773
- Entity type
- Organization
- NPI issued
- 13 Apr 2010
- Record last updated
- 23 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.