Provider Demographics
NPI:1134199185
Name:COX, CAROLE P (LDN RD CDE)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:P
Last Name:COX
Suffix:
Gender:F
Credentials:LDN RD CDE
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:C
Other - Last Name:POST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 PARK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-1172
Mailing Address - Country:US
Mailing Address - Phone:504-737-5960
Mailing Address - Fax:504-737-1480
Practice Address - Street 1:3901 HOUMA BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2930
Practice Address - Country:US
Practice Address - Phone:504-455-1300
Practice Address - Fax:504-780-0333
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA818276133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
4C244Medicare ID - Type Unspecified