Individual
LANASHA CONIECE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
(504) 568-4850
Mailing address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
(504) 568-4850
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200363
LA
207V00000X
Obstetrics & Gynecology Physician
20924
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03402745
—
MS
Enumeration date
08/07/2007
Last updated
04/21/2015
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