Individual
MRS. LASANDRA MAGAIL BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15813 PAUL VEGA MD DR STE 401A, HAMMOND, LA 70403-1426
(985) 230-1580
(985) 230-1585
Mailing address
PO BOX 3087, HOSPITAL BILLING - CREDENTIALING, HAMMOND, LA 70404-3087
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
024099
LA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
024099
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489000
—
LA
01
—
277457ZADS
MEDICARE
—
Enumeration date
08/10/2005
Last updated
01/25/2023
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