SearchLouisiana208000000X

Theresa Dise, MD

NPI 1518059146 · on the registry since 2006

Practice

Address
200 Broadway St
Suite 230
New Orleans, LA 70118
Phone
(504) 988-9000
Fax
(504) 988-9099
Organisation at this address
Crescent City Schools
Pride College Preparatory Academy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana