Provider Demographics
NPI:1861663924
Name:MORRELL, MIGNONNE BEAUDOIN (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGNONNE
Middle Name:BEAUDOIN
Last Name:MORRELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1542 TULANE AVE
Mailing Address - Street 2:3RD FLR. DEPT. OF RADIOLOGY
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2865
Mailing Address - Country:US
Mailing Address - Phone:504-568-5523
Mailing Address - Fax:504-568-8955
Practice Address - Street 1:1542 TULANE AVE
Practice Address - Street 2:3RD FLR. DEPT. OF RADIOLOGY
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2865
Practice Address - Country:US
Practice Address - Phone:504-568-5523
Practice Address - Fax:504-568-8955
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-236452085R0202X
LAMD.2025662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology