Provider Demographics
NPI:1134456999
Name:GREENWAY, FRANK LYONS III (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LYONS
Last Name:GREENWAY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6400 PERKINS RD
Mailing Address - Street 2:PENNINGTON CENTER
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4124
Mailing Address - Country:US
Mailing Address - Phone:225-763-2578
Mailing Address - Fax:225-763-3022
Practice Address - Street 1:6400 PERKINS RD
Practice Address - Street 2:PENNINGTON CENTER
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4124
Practice Address - Country:US
Practice Address - Phone:225-763-2578
Practice Address - Fax:225-763-3022
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA11090R207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA41208Medicare UPIN