Provider Demographics
NPI:1952673220
Name:MCLENDON, ANNA GRAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:GRAY
Last Name:MCLENDON
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 1:828 ROYAL ST
Mailing Address - Street 2:# 338
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-3115
Mailing Address - Country:US
Mailing Address - Phone:504-261-3847
Mailing Address - Fax:
Practice Address - Street 1:616 ROYAL ST
Practice Address - Street 2:# 10
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-2116
Practice Address - Country:US
Practice Address - Phone:504-261-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD8337R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine