Provider Demographics
NPI:1700853215
Name:BRINZ, LAURA A (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:BRINZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 HOUMA BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2931
Mailing Address - Country:US
Mailing Address - Phone:504-885-0577
Mailing Address - Fax:504-888-7441
Practice Address - Street 1:3939 HOUMA BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2931
Practice Address - Country:US
Practice Address - Phone:504-885-0577
Practice Address - Fax:504-888-7441
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL09663R207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0963310001OtherCIGNA
LA1600016OtherUNITED HEALTHCARE
LA4403156OtherAETNA
LA0963310001OtherCIGNA
LA1600016OtherUNITED HEALTHCARE
830005863Medicare PIN