NPI 1861682189

Jason Lee Park, MD

Practitioner Anesthesiology Physician Terrytown, LA

Practice location

Address: 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127
Phone: (504) 391-5157

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence MD.202012 (LA)

Other Anesthesiology providers in Louisiana →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence A112590 (CA)

Registry record

NPI: 1861682189
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2007
Record last updated: 10 Aug 2012

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.