Provider Demographics
NPI:1336572734
Name:LANA D LOUIE
Entity Type:Organization
Organization Name:LANA D LOUIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOUIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-257-3750
Mailing Address - Street 1:PO BOX 571268
Mailing Address - Street 2:SUITE 607
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91357-1268
Mailing Address - Country:US
Mailing Address - Phone:818-257-3750
Mailing Address - Fax:
Practice Address - Street 1:18370 BURBANK
Practice Address - Street 2:SUITE 607
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2833
Practice Address - Country:US
Practice Address - Phone:818-342-2123
Practice Address - Fax:818-342-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty