Provider Demographics
NPI:1255489829
Name:DRS. STAUDINGER AND WALSH, LLP
Entity Type:Organization
Organization Name:DRS. STAUDINGER AND WALSH, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-897-1327
Mailing Address - Street 1:2820 NAPOLEON AVE
Mailing Address - Street 2:SUITE 640
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6969
Mailing Address - Country:US
Mailing Address - Phone:504-897-1327
Mailing Address - Fax:504-897-1364
Practice Address - Street 1:2820 NAPOLEON AVE
Practice Address - Street 2:SUITE 640
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6969
Practice Address - Country:US
Practice Address - Phone:504-897-1327
Practice Address - Fax:504-897-1364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16010173000000X
LA15860173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1351393Medicaid
LA1440060Medicaid
LA1358673Medicaid
LA1358673Medicaid
LAD79743Medicare UPIN
LA5M771Medicare ID - Type UnspecifiedSTAUDINGER
LA1351393Medicaid
LA5O191Medicare ID - Type UnspecifiedWALSH