Provider Demographics
NPI:1184476780
Name:WOUND & LIMB PRESERVATION CENTER LA1 LLC
Entity type:Organization
Organization Name:WOUND & LIMB PRESERVATION CENTER LA1 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:504-754-6951
Mailing Address - Street 1:201 SAINT CHARLES AVE STE 2500
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70170-2500
Mailing Address - Country:US
Mailing Address - Phone:504-754-6951
Mailing Address - Fax:504-500-4564
Practice Address - Street 1:5620 READ BLVD # 3
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3106
Practice Address - Country:US
Practice Address - Phone:504-754-6951
Practice Address - Fax:504-500-4564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty