Organization Active NPI

Elizabeth Lawrance, MD, LLC

  • Surgery Physician
  • Lafayette, LA
National Provider Identifier
1114971355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
025569 Issued in LA
Legal business name
ELIZABETH LAWRANCE, MD, LLC
Practice address
4212 W Congress St
Suite 1430
Lafayette, LA 70506-6765
Phone
(337) 988-9262
Fax
(337) 988-9023
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elizabeth A. Lawrance, M.D.
Title
Owner
Phone
(337) 988-9262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 025569 LA Primary

Addresses

Primary practice location

4212 W Congress St
Suite 1430
Lafayette, LA 70506-6765

Mailing address

4212 W Congress St
Suite 1430
Lafayette, LA 70506-6765
Phone (337) 988-9262

Other identifiers 1

IdentifierTypeStateIssuer
1056898MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114971355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "SUITE 1430",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-988-9262",
            "fax_number": "337-988-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "SUITE 1430",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-988-9262",
            "fax_number": "337-988-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LAWRANCE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWRANCE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-988-9262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "025569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056898",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.