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DOLLEEN LICCIARDI MD
NPI 1629072558
Pediatrics in Destrehan, LA

Active since June 09, 2005
141 ORMOND CENTER CT, DESTREHAN, LA 70047(985) 764-7337(985) 764-5333 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dolleen Licciardi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOLLEEN LICCIARDI MD (NPI 1629072558) is an individual pediatrics provider in Destrehan, Louisiana, licensed in Louisiana (17300) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1629072558
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDOLLEEN LICCIARDICredential: MD
Location Address141 ORMOND CENTER CTDestrehan, LA 70047-2548
Mailing Address298 Henry Clay AveNew Orleans, LA 70118-5720 · (504) 896-9827 · Fax (504) 894-5370
Phone(985) 764-7337
Fax(985) 764-5333
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateJanuary 7, 2011
✔ NPI 1629072558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 17300
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
141 ORMOND CENTER CT, Destrehan, LA 70047
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Other Identifiers 1

Medicaid1364045LA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS BABIN MD
Pediatrics
141 ORMOND CENTER CT
DESTREHAN, LA 70047
St. Charles Parish (985) 764-7337
ORMOND PEDIATRIC GROUP
Clinic/Center (Primary Care)
141 ORMOND CENTER CT
DESTREHAN, LA 70047
St. Charles Parish (985) 764-7337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dolleen Licciardi's NPI number?

The NPI number for Dolleen Licciardi is 1629072558. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Dolleen Licciardi located?

Dolleen Licciardi practices at 141 Ormond Center Ct, Destrehan, LA 70047. The listed phone number is (985) 764-7337.

What is Dolleen Licciardi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Dolleen Licciardi was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.