Provider Demographics
NPI:1134161946
Name:LAMA, ANTHONY J (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:LAMA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3439 PRYTANIA ST STE 500
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3536
Mailing Address - Country:US
Mailing Address - Phone:504-897-5528
Mailing Address - Fax:504-897-5598
Practice Address - Street 1:3439 PRYTANIA ST STE 500
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3536
Practice Address - Country:US
Practice Address - Phone:504-897-5528
Practice Address - Fax:504-897-5598
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08931R174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1921882Medicaid
LAF04249Medicare UPIN
LA5N754Medicare PIN