Provider Demographics
NPI:1134489032
Name:LAMA, MELISSA A (NP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:A
Last Name:LAMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-2619
Mailing Address - Country:US
Mailing Address - Phone:985-386-6198
Mailing Address - Fax:985-386-6223
Practice Address - Street 1:105 E OAK ST
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-2619
Practice Address - Country:US
Practice Address - Phone:985-386-6198
Practice Address - Fax:985-386-6223
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06601363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health