Provider Demographics
NPI:1649545922
Name:LIUZZA, LINDSEY GOODWIN (MD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:GOODWIN
Last Name:LIUZZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:MICHELLE
Other - Last Name:GOODWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1542 TULANE AVE
Mailing Address - Street 2:BOX T6-7
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2865
Mailing Address - Country:US
Mailing Address - Phone:504-568-4680
Mailing Address - Fax:
Practice Address - Street 1:605 LAPALCO BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7302
Practice Address - Country:US
Practice Address - Phone:504-371-9355
Practice Address - Fax:504-391-5399
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPGY.201649207X00000X
390200000X
LA305418207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program