Provider Demographics
NPI:1578063640
Name:COSSE, LANERA ELISE
Entity Type:Individual
Prefix:
First Name:LANERA
Middle Name:ELISE
Last Name:COSSE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LANERA
Other - Middle Name:ELISE
Other - Last Name:COSSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6336 KUEBEL DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-1426
Mailing Address - Country:US
Mailing Address - Phone:504-493-0719
Mailing Address - Fax:
Practice Address - Street 1:6336 KUEBEL DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-1426
Practice Address - Country:US
Practice Address - Phone:504-493-0719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health