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Dolleen Licciardi, MD
NPI 1629072558 · Pediatrics Physician · Destrehan, LA
Dolleen Licciardi, MD is a Pediatrics Physician provider in Destrehan, LA (NPI 1629072558).
Provider details
- NPI number
- 1629072558
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 17300 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
141 Ormond Center Ct
Destrehan, LA 70047-2548
Phone: (985) 764-7337
Fax: (985) 764-5333
Street-level locationGet directions
Mailing address
298 Henry Clay Ave
New Orleans, LA 70118-5720
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2011-01-07
Frequently asked questions
- What is Dolleen Licciardi's NPI number?
- Dolleen Licciardi's National Provider Identifier (NPI) is 1629072558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dolleen Licciardi's specialty?
- Dolleen Licciardi is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Dolleen Licciardi located?
- Dolleen Licciardi's practice location on file with NPPES is 141 Ormond Center Ct, Destrehan, LA 70047-2548.
- What is Dolleen Licciardi's phone number?
- The practice phone number listed in the NPPES registry for Dolleen Licciardi is (985) 764-7337.
- Is Dolleen Licciardi's NPI active?
- Yes — Dolleen Licciardi's NPI (1629072558) is active in the NPPES registry as of the last update on 2011-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.