Provider Demographics
NPI:1619100807
Name:DOCTORS ANESTHESIA
Entity Type:Organization
Organization Name:DOCTORS ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:VERGES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:504-832-2115
Mailing Address - Street 1:1207 N CAUSEWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-4129
Mailing Address - Country:US
Mailing Address - Phone:504-832-2115
Mailing Address - Fax:504-832-2116
Practice Address - Street 1:1207 N CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-4129
Practice Address - Country:US
Practice Address - Phone:504-832-2115
Practice Address - Fax:504-832-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty