Provider Demographics
NPI:1366611055
Name:UNITED STATES COAST GUARD
Entity type:Organization
Organization Name:UNITED STATES COAST GUARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:FRANSISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGOVELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-253-6506
Mailing Address - Street 1:13800 OLD GENTILLY RD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70129-2218
Mailing Address - Country:US
Mailing Address - Phone:504-253-6506
Mailing Address - Fax:504-253-6532
Practice Address - Street 1:13800 OLD GENTILLY RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70129-2218
Practice Address - Country:US
Practice Address - Phone:504-253-6506
Practice Address - Fax:504-253-6532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171000000XOther Service ProvidersMilitary Health Care ProviderGroup - Single Specialty