Provider Demographics
NPI:1356063630
Name:COSCARART HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:COSCARART HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANDER
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:COSCARART
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:225-663-0326
Mailing Address - Street 1:5628 CHERLYN DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1139
Mailing Address - Country:US
Mailing Address - Phone:225-663-0326
Mailing Address - Fax:
Practice Address - Street 1:1939 HICKORY AVE STE 106
Practice Address - Street 2:
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-5699
Practice Address - Country:US
Practice Address - Phone:225-663-0326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty