Provider Demographics
NPI:1922062512
Name:PRESSER, DALE A III (MD)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:A
Last Name:PRESSER
Suffix:III
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 1:100 INNWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433
Mailing Address - Country:US
Mailing Address - Phone:985-273-3035
Mailing Address - Fax:985-273-3036
Practice Address - Street 1:100 INNWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-273-3035
Practice Address - Fax:985-273-3036
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14137R207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1047694Medicaid
LAP00111925OtherRAILROAD MEDICARE
LAP00111925OtherRAILROAD MEDICARE
LA1047694Medicaid