Provider Demographics
NPI:1275760084
Name:HILL, ANDREA MICHELLE (PHLEBOTOMIST)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:MICHELLE
Last Name:HILL
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:104 ORMOND BLVD
Mailing Address - Street 2:SUITE M
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-3743
Mailing Address - Country:US
Mailing Address - Phone:504-327-6218
Mailing Address - Fax:225-567-3005
Practice Address - Street 1:104 ORMOND BLVD
Practice Address - Street 2:SUITE M
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3743
Practice Address - Country:US
Practice Address - Phone:504-327-6218
Practice Address - Fax:225-567-3005
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory