Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northshore Laser & Vein Center LLC

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

Northshore Laser & Vein Center LLC is a Critical Care Medicine (Internal Medicine) Physician 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