Doctor Name: | DR. GREGORY PAUL LANATA |
NPI Number: | 1083674618 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | PD007R |
Business Practice Address: | 433 Plaza St Bogalusa, LA - 704273729 |
Business Phone Number: | 9857307181 |
Business Fax Number: | 9857307183 |
Mailing Address: | 116 E Woodstone Ct, BATON ROUGE |
State: | LA |
Postal Code: | 708085138 |
Phone Number: | 9857306705 |
Fax Number: | 9857307183 |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PD007R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |