Organization
ABANA ORTHOTICS & PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CESAR SALIM LUTFALLAH CPO, BOCPO, CPED (OWNER-PRESIDENT)
(318) 767-1929
Entity
Organization
Contact information
Practice address
1419 PETERMAN DR, ALEXANDRIA, LA 71301-3433
(318) 767-1929
(318) 767-1385
Mailing address
1419 PETERMAN DR, ALEXANDRIA, LA 71301-3433
(318) 767-1929
(318) 767-1385
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106194
—
LA
01
—
G0568
BCBS OF LOUISIANA
LA
Enumeration date
02/01/2007
Last updated
08/27/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up