Individual ProviderTara M. LabichePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1514 Jefferson Hwy, New Orleans, LA 70121-2429(504) 842-4015PECOS EnrollmentBased on the most recent information from CMS, provider Tara M. Labiche does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1639435548Provider TypeIndividualFull NameLabiche, Tara M.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date4/4/2012Last Updated4/4/2012Contact InformationPractice LocationPractice Address1514 Jefferson Hwy, New Orleans, LA 70121-2429Phone(504) 842-4015Fax(504) 842-0098Mailing LocationMailing Address1514 Jefferson Hwy, New Orleans, LA 70121-2429Phone(504) 842-4015Fax(504) 842-0098Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA.A10543Louisiana