# L.A. ANESTHESIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700029758
- **Authorized official:** WAYNE P COCKRELL JR. MD (OWNER)
- **Authorized official phone:** (251) 965-5393

## Contact information

- **Practice address:** 1613 N MCKENZIE ST, FOLEY, AL 36535-2247
- **Practice address phone:** (251) 965-5393
- **Practice address fax:** (251) 971-1029
- **Mailing address:** PO BOX 137, FOLEY, AL 36536-0137
- **Mailing address phone:** (251) 965-5393
- **Mailing address fax:** (251) 971-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 04/07/2009