Provider Demographics
NPI:1851399174
Name:HOLLIER, LARRY HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:HAROLD
Last Name:HOLLIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:433 BOLIVAR ST
Mailing Address - Street 2:SUITE 815
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-7021
Mailing Address - Country:US
Mailing Address - Phone:504-568-4800
Mailing Address - Fax:504-568-5177
Practice Address - Street 1:433 BOLIVAR ST
Practice Address - Street 2:SUITE 815
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-7021
Practice Address - Country:US
Practice Address - Phone:504-568-4800
Practice Address - Fax:504-568-5177
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0109702086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA63L811Medicaid
LA63L811Medicaid
LAB63587Medicare UPIN