Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northshore Laser & Vein Center LLC

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1205516903

Northshore Laser & Vein Center LLC provides Critical Care Medicine (Internal Medicine) Physician services in Mandeville, Louisiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

301 Glorias Pl
Mandeville, LA 70471-1612
Phone: (985) 507-9116
Fax: (850) 637-8020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X

Record details

NPI number1205516903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Grisoli — Medical Director · (985) 507-9116
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 18, 2023
Mailing address301 Glorias Pl, Mandeville, LA 70471-1612