Active NPI
Louis Edward Lamancusa, MD
- Neurology Physician
- Las Vegas, NV
National Provider Identifier
1275629859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 021460
- Practice address
- 7441 Lake Mead #159
Las Vegas, NV 98128 - Phone
- (702) 461-6046
- Fax
- (702) 870-3997
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 021460 | LA | Primary |
Addresses
Primary practice location
7441 Lake Mead #159
Las Vegas, NV 98128
Mailing address
PO Box 1928
Dothan, AL 36302-1928
Phone (334) 712-3635
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021460 | LA | MD | Neurology Physician |
Interoperability endpoints
- llamancusa14385@southeasthealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1275629859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1928",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363021928",
"telephone_number": "334-712-3635",
"fax_number": "334-699-4387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7441 LAKE MEAD #159",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "98128",
"telephone_number": "702-461-6046",
"fax_number": "702-870-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMANCUSA",
"first_name": "LOUIS",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "021460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.