Lana J Cooper, P.A.
Individual provider Active NPI Physician Assistant · Louisburg, NC
NPI 1154624617 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1154624617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-02602 (NC)
- Practice address
- 107 Industrial Dr Ste C
Louisburg, NC 27549-2371 - Phone
- (919) 496-2533
- Fax
- (919) 496-8140
- NPI assigned
- Dec 6, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130110000332 | NC | Practitioner - Physician Assistant | 2365695988 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisburg Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- lana.cooper@direct.fchd.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-02602 | NC | Yes |
Addresses
Primary practice location
107 Industrial Dr Ste C
Louisburg, NC 27549-2371
Mailing address
107 Industrial Dr Ste C
Louisburg, NC 27549-2371
Phone (919) 496-2533
Other names
- Lana J Allen
Other providers in Louisburg, NC
- Byron Keith Collins
- Rachel Collins
- Comfort Healthcare, Inc.
- Jennifer Poppe Congleton
- Continuum II Home Health & Hospice, Inc.
- Cornelius F. Cathcart, Pediatrics, PA
- Aimee Tosha Costabile Henk
- County of Franklin
- County of Franklin
- County of Franklin
All providers in Louisburg, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.