Provider Demographics
NPI:1851493076
Name:CARR, LANA B (MD)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:B
Last Name:CARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:
Other - Last Name:BAXTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4030 RIVER HILL DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5606
Mailing Address - Country:US
Mailing Address - Phone:361-767-0303
Mailing Address - Fax:361-767-1220
Practice Address - Street 1:4030 RIVER HILL DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5606
Practice Address - Country:US
Practice Address - Phone:361-767-0303
Practice Address - Fax:361-767-1220
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I48298Medicare UPIN
8G2708Medicare ID - Type Unspecified