Organization Active NPI

Lisa M. Coln MD Apmc

  • Specialist
  • Metairie, LA
National Provider Identifier
1699116541
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD024744 Issued in LA
Legal business name
LISA M. COLN MD APMC
Doing business as
Lakeside Women's Obstetrics & Gynecology
Practice address
4770 S I 10 Service Rd W
Suite 104
Metairie, LA 70001-1215
Phone
(504) 889-7652
Fax
(504) 889-7632
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Lisa M Colon, M.D.NPI 1275695017
Title
Physician/Owner
Phone
(504) 889-7652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD024744 LA Primary

Addresses

Primary practice location

4770 S I 10 Service Rd W
Suite 104
Metairie, LA 70001-1215

Mailing address

4770 S I 10 Service Rd W
Suite 104
Metairie, LA 70001-1215
Phone (504) 889-7652

Other identifiers 1

IdentifierTypeStateIssuer
1579297MedicaidLA

Other names 1

  • Lakeside Women's Obstetrics & Gynecology Doing business as

National Provider Directory

National Provider Directory

Locations

4770 S I 10 Service Rd W
Ste 104
Metairie, LA 70001
Phone (504) 457-0299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1699116541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 S I 10 SERVICE RD W",
            "address_2": "SUITE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011215",
            "telephone_number": "504-889-7652",
            "fax_number": "504-889-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 S I 10 SERVICE RD W",
            "address_2": "SUITE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011215",
            "telephone_number": "504-889-7652",
            "fax_number": "504-889-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. COLN MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "504-889-7652",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD024744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579297",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Women's Obstetrics & Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.