Provider Demographics
NPI:1457708778
Name:SINUS AND NASAL SPECIALISTS OF LOUISIANA
Entity Type:Organization
Organization Name:SINUS AND NASAL SPECIALISTS OF LOUISIANA
Other - Org Name:SINUS AND NASAL SPECIALISTS OF LOUISIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-819-1181
Mailing Address - Street 1:8585 PICARDY AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3753
Mailing Address - Country:US
Mailing Address - Phone:225-819-1181
Mailing Address - Fax:
Practice Address - Street 1:8585 PICARDY AVE STE 210
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3753
Practice Address - Country:US
Practice Address - Phone:225-819-1181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA026046207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1134282957OtherNPI
LA1144463613OtherNPI