Provider Demographics
NPI:1497796536
Name:LANASA, JAMES E III (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:LANASA
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:429 W AIRLINE HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-3817
Mailing Address - Country:US
Mailing Address - Phone:985-652-5052
Mailing Address - Fax:985-652-1912
Practice Address - Street 1:159 LONGVIEW DR
Practice Address - Street 2:SUITE C
Practice Address - City:DESTREHAN
Practice Address - State:LA
Practice Address - Zip Code:70047-5075
Practice Address - Country:US
Practice Address - Phone:985-764-7669
Practice Address - Fax:985-764-7650
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-09-25
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Provider Licenses
StateLicense IDTaxonomies
LA017706207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1379794Medicaid
B65489Medicare UPIN
LA54875Medicare PIN