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

Northshore Plastic Surgery, LLC

Organization Plastic Surgery Physician · NPI 1568690469

Northshore Plastic Surgery, LLC is a Plastic Surgery Physician in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2009.

Licensed in
LA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3401 E Causeway Approach
Mandeville, LA 70448-3447
Phone: (985) 237-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD.201940 (LA)

Record details

NPI number1568690469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Boudreaux — Manager · (225) 588-4644
NPI enumeratedJune 30, 2009
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address3401 E Causeway Approach, Mandeville, LA 70448-3447

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