Provider Demographics
NPI:1760821581
Name:LSU HEALTH SCIENCES CENTER SCHOOL OF NURSING
Entity Type:Organization
Organization Name:LSU HEALTH SCIENCES CENTER SCHOOL OF NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DEMETRIUS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PORCHE
Authorized Official - Suffix:
Authorized Official - Credentials:DNS, PHD, APRN
Authorized Official - Phone:504-568-4106
Mailing Address - Street 1:1900 GRAVIER ST
Mailing Address - Street 2:SCHOOL OF NURSING, 4TH FLOOR
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2262
Mailing Address - Country:US
Mailing Address - Phone:504-568-4106
Mailing Address - Fax:
Practice Address - Street 1:1900 GRAVIER ST
Practice Address - Street 2:SCHOOL OF NURSING, 4TH FLOOR
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2262
Practice Address - Country:US
Practice Address - Phone:504-568-4106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LSU HEALTH SCIENCES CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-15
Last Update Date:2013-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care