Provider Demographics
NPI:1326269150
Name:ORTHOPAEDIC ASSOCIATES OF NEW ORLEANS A PROF MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ORTHOPAEDIC ASSOCIATES OF NEW ORLEANS A PROF MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-899-6391
Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3532
Mailing Address - Country:US
Mailing Address - Phone:504-899-6391
Mailing Address - Fax:504-899-4933
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:SUITE 430
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-899-6391
Practice Address - Fax:504-899-4933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0961800001Medicare NSC
LA5CY05Medicare PIN