Individual provider Active NPI

Liana I Laza, MD

  • Neurology Physician
  • Mechanicsburg, PA
National Provider Identifier
1083679559
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD069690L Issued in PA
Practice address
2005 Technology Pkwy
Suite 400
Mechanicsburg, PA 17050-9413
Phone
(717) 791-2520
Fax
(717) 703-0061
NPI assigned
Apr 19, 2006
Last updated
Dec 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD069690L PA Primary

Addresses

Primary practice location

2005 Technology Pkwy
Suite 400
Mechanicsburg, PA 17050-9413

Mailing address

307 S Front St
Harrisburg, PA 17104-1621

Other identifiers 1

IdentifierTypeStateIssuer
0018446670003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Neurological Associates LTD Neurology PastSince Jul 21, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1083679559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY",
            "address_2": "SUITE 400",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509413",
            "telephone_number": "717-791-2520",
            "fax_number": "717-703-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZA",
        "first_name": "LIANA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD069690L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018446670003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.