Organization Active NPI

Lawrence J. Danna, MD a Medical Corporation

  • Otolaryngology Physician
  • West Monroe, LA
National Provider Identifier
1578775417
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.011617 Issued in LA
Legal business name
LAWRENCE J. DANNA, MD A MEDICAL CORPORATION
Practice address
108 Contempo Ave
West Monroe, LA 71291-5312
Phone
(318) 388-4994
Fax
(318) 325-8303
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Mrs. Teresa Smith
Title
Office Manager
Phone
(318) 388-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD.011617 LA Primary

Addresses

Primary practice location

108 Contempo Ave
West Monroe, LA 71291-5312

Mailing address

108 Contempo Ave
West Monroe, LA 71291-5312
Phone (318) 388-4994

Other identifiers 1

IdentifierTypeStateIssuer
1158208MedicaidLA

National Provider Directory

National Provider Directory

Locations

108 Contempo Ave
West Monroe, LA 71291
Phone (318) 388-4994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1578775417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CONTEMPO AVE",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915312",
            "telephone_number": "318-388-4994",
            "fax_number": "318-325-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CONTEMPO AVE",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915312",
            "telephone_number": "318-388-4994",
            "fax_number": "318-325-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J. DANNA, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-388-4994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "MD.011617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158208",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.