LEON A CANNIZZARO III

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

Dr LEON A CANNIZZARO III is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 2009.

Contact

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

34870 LA HWY 1019
DENHAM SPRINGS
LA
707060659

Tel: 2252436450

LEON A CANNIZZARO III Information

Npi 1356585228
Pac Id 2365759867
Professional Enrollment Id I20150916001003
Last Name CANNIZZARO
First Name LEON
Middle Name A
Suffix III
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialty 1 INTERNAL MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERNAL MEDICINE
Organization Legal Name OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Group Practice Pac Id 4587849781
Number Of Group Practice Members 439
Line 1 Street Address 34870 LA HWY 1019
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DENHAM SPRINGS
State LA
Zip Code 707060659
Phone Number 2252436450
Hospital Affiliation Ccn 1 190064
Hospital Affiliation Lbn 1 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 190065
Hospital Affiliation Lbn 2 BATON ROUGE GENERAL MEDICAL CENTER
Hospital Affiliation Ccn 3 191316
Hospital Affiliation Lbn 3 POINTE COUPEE GENERAL HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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