Active NPI
Lynne Porter Alexander, M.D.
- Dermatology Physician
- Bogalusa, LA
National Provider Identifier
1205055977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 010679
- Practice address
- 621 Carolina Ave
Bogalusa, LA 70427-3318 - Phone
- (985) 732-2524
- NPI assigned
- Apr 24, 2007
- Last updated
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 010679 | LA | Primary |
Addresses
Primary practice location
621 Carolina Ave
Bogalusa, LA 70427-3318
Mailing address
621 Carolina Ave
Bogalusa, LA 70427-3318
Phone (985) 732-2524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010679 | LA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1205055977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 CAROLINA AVE",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273318",
"telephone_number": "985-732-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 CAROLINA AVE",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273318",
"telephone_number": "985-732-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "LYNNE",
"middle_name": "PORTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "010679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.