NPIMap

Organization Active NPI

Lisa M Colon, MD a Professional Medical Corporation

  • Specialist
  • Metairie, LA
National Provider Identifier
1851563357
Registry record updated Oct 23, 2014
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD024744 Issued in LA
Legal business name
LISA M COLON, MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
4770 S I 10 Service Rd W Ste 104
Metairie, LA 70001-1224
Phone
(504) 889-7652
Fax
(504) 889-7632
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

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

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 Ste 104
Metairie, LA 70001-1224

Mailing address

4770 S I 10 Service Rd W Ste 104
Metairie, LA 70001-1224
Phone (504) 889-7652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1851563357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 S I 10 SERVICE RD W STE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011224",
            "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 STE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011224",
            "telephone_number": "504-889-7652",
            "fax_number": "504-889-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M COLON, MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "504-889-7652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD024744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 23, 2014; 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.