Basic Information
| Provider Information | |||||||||
| NPI: | 1255433066 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEDOUX | ||||||||
| FirstName: | ELMA | ||||||||
| MiddleName: | IRELAND | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1326 FERN ST | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701184022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5042893610 | ||||||||
| FaxNumber: | 5049881600 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 GATEWAY DR | ||||||||
| Address2: | |||||||||
| City: | SLIDELL | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704615540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9856466556 | ||||||||
| FaxNumber: | 9856907198 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 16097 | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.