Provider Demographics
NPI:1275304404
Name:HASKIN, CIARA
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:
Last Name:HASKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 ALLEN TOUSSAINT BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2534
Mailing Address - Country:US
Mailing Address - Phone:504-676-8846
Mailing Address - Fax:
Practice Address - Street 1:109 ROOKS DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-1033
Practice Address - Country:US
Practice Address - Phone:504-676-8846
Practice Address - Fax:504-226-0822
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA339393246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy