1801993712 NPI number — LANCE TURKISH, M.D.,APC

Table of content: (NPI 1801993712)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801993712 NPI number — LANCE TURKISH, M.D.,APC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LANCE TURKISH, M.D.,APC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
L.T.M.D.,APC
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801993712
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3434 PRYTANIA ST
Provider Second Line Business Mailing Address:
SUITE 305
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70115-3532
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-897-7989
Provider Business Mailing Address Fax Number:
504-897-7980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3434 PRYTANIA ST
Provider Second Line Business Practice Location Address:
SUITE 305
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70115-3532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-897-7989
Provider Business Practice Location Address Fax Number:
504-897-7980
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TURKISH
Authorized Official First Name:
LANCE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
504-897-7989

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CN9734 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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