Organization Active NPI

Lawrence I. Russell, M.D.,LTD

  • Cardiovascular Disease Physician
  • Lafayette, LA
National Provider Identifier
1811027881
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
014024 Issued in LA
Legal business name
LAWRENCE I. RUSSELL, M.D.,LTD
Practice address
601 W Saint Mary Blvd
Ste. 200
Lafayette, LA 70506-3568
Phone
(337) 233-7300
Fax
(337) 233-5685
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lawrence Irwin Russell, M.D.NPI 1407853237
Title
Physician
Phone
(337) 233-7300

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
Cardiovascular Disease Physician 207RC0000X 014024 LA Primary

Addresses

Primary practice location

601 W Saint Mary Blvd
Ste. 200
Lafayette, LA 70506-3568

Mailing address

601 W Saint Mary Blvd
Ste. 200
Lafayette, LA 70506-3568
Phone (337) 233-7300

Other identifiers 1

IdentifierTypeStateIssuer
1167169MedicaidLA

National Provider Directory

National Provider Directory

Locations

601 W Saint Mary Blvd
Ste 200
Lafayette, LA 70506
Phone (337) 233-7300

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811027881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "STE. 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-233-7300",
            "fax_number": "337-233-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "STE. 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-233-7300",
            "fax_number": "337-233-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE I. RUSSELL, M.D.,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-233-7300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "014024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1167169",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.