Provider Demographics
NPI:1437780939
Name:LOUISIANA FOOT AND ANKLE SURGEONS, LLC
Entity Type:Organization
Organization Name:LOUISIANA FOOT AND ANKLE SURGEONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:DYLAN
Authorized Official - Last Name:LAMKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:903-826-7501
Mailing Address - Street 1:6020 LORAINE ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-3722
Mailing Address - Country:US
Mailing Address - Phone:903-826-7501
Mailing Address - Fax:
Practice Address - Street 1:401 VETERANS BLVD STE 207
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2957
Practice Address - Country:US
Practice Address - Phone:504-835-1849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty