CAMELLIA CITY OBSTETRICS AND GYNECOLOGY
Medical Practice at Robert Blvd, Slidell, LA

License number
Louisiana 90577
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: DR. DIANA CLAVIN MD
Title: AUTHORIZED AGENT
Phone: (985) 781-4848
Address
Address
1150 Robert Blvd SUITE 360, Slidell, LA 70458
National Provider ID: 1184634040
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAMELLIA CITY OBSTETRICS & GYNECOLOGY, LLC

Slidell, LA

Industry:
Medical Doctor's Office
Registration:
Jul 28, 1999
Addresses:
1150 Robert Blvd, Slidell, LA 70458 (Physical)
C/O Ann Roussel Lobello, Slidell, LA 70458 (Mailing)
State ID:
34819817K
Business type:
Limited Liability Company
Manager, Office Manager, Principals:
Diana K. Clavin (Member, Medical Doctor, Obstetrician), 238 Lansdowne, Slidell, LA 70461 (Physical),Melissa Welch Smith (Obstetrician),Ingrid K. Roskos (Obstetrician),...

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