Andre Raoul Bezou, M.D.
Clinic/Center in Mandeville, LA(View on Map)
Legal Business Name
Andre Raoul Bezou, M.D.
NPI Number
1235269135
NPI Type
Organization
Enumeration Date
03/07/2007
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
013197
Contact
Information
Purpose
Mailing
Location
Address
2727 LAKESHORE DR
2727 LAKESHORE DR
City
Mandeville
Mandeville
State
LA
LA
Postal Code
70448-5629
70448-5629
Country
US
US
Telephone Number
(985) 892-8088
(985) 892-8088
Authorized Official
Name
Jonelle Couch
Title or Position
BUSINESS MANAGER
Telephone Number
(504) 887-5555
Identifiers
Identifier
1161179
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/17/2008
Provider Address
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