Provider Demographics
NPI:1649441940
Name:SESSIONS, BLANE ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:BLANE
Middle Name:ADAM
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 RIVER HIGHLANDS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8913
Mailing Address - Country:US
Mailing Address - Phone:985-238-0045
Mailing Address - Fax:985-888-6488
Practice Address - Street 1:601 RIVER HIGHLANDS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-238-0045
Practice Address - Fax:985-888-6488
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD203385207X00000X
LAPGY-2.LSUN-ORTH207X00000X
PAMD442060207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAMD.203385OtherLA MEDICAL LICENSE NUMBER
LA1508161Medicaid
LAPGY-2.LSUN-ORTHOtherLA MEDICAL LICENSE NUMBER