Provider Demographics
NPI:1750485009
Name:LABORDE, JAMES MONROE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MONROE
Last Name:LABORDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-899-6391
Mailing Address - Fax:504-899-4933
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:SUITE 430
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-899-6391
Practice Address - Fax:504-899-4933
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA012504207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1320684Medicaid
AL1192373OtherFEDERAL
B59346Medicare UPIN
LA1320684Medicaid
LA5K990CY05Medicare PIN
LA5K990B979Medicare ID - Type Unspecified