Active NPI
Lmamon MD, LLC
- Child & Adolescent Psychiatry Physician
- New Orleans, LA
National Provider Identifier
1033465497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 026572
- Legal business name
- LMAMON MD, LLC
- Practice address
- 3909 Bienville St
Suite 102
New Orleans, LA 70119-5151 - Phone
- (504) 486-0020
- NPI assigned
- Aug 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lakisha Mamon, MD
- Title
- Physician/Manager
- Phone
- (504) 723-3132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 026572 | LA | Primary |
Addresses
Primary practice location
3909 Bienville St
Suite 102
New Orleans, LA 70119-5151
Mailing address
3909 Bienville St
Suite 102
New Orleans, LA 70119-5151
Phone (504) 486-0020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343865600000",
"number": "1033465497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 BIENVILLE ST",
"address_2": "SUITE 102",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195151",
"telephone_number": "504-486-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 BIENVILLE ST",
"address_2": "SUITE 102",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195151",
"telephone_number": "504-486-0020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LMAMON MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A",
"authorized_official_last_name": "MAMON",
"authorized_official_first_name": "LAKISHA",
"authorized_official_title_or_position": "PHYSICIAN/MANAGER",
"authorized_official_telephone_number": "504-723-3132",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "LA",
"license": "026572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.