Provider Demographics
NPI:1699777615
Name:BARTON, LASANDRA MAGAIL (MD)
Entity type:Individual
Prefix:MRS
First Name:LASANDRA
Middle Name:MAGAIL
Last Name:BARTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3087
Mailing Address - Street 2:HOSPITAL BILLING - CREDENTIALING
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-3087
Mailing Address - Country:US
Mailing Address - Phone:985-230-1682
Mailing Address - Fax:985-230-6652
Practice Address - Street 1:15813 PAUL VEGA MD DR STE 401A
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1426
Practice Address - Country:US
Practice Address - Phone:985-230-1580
Practice Address - Fax:985-230-1585
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024099207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1489000Medicaid
277457ZADSOtherMEDICARE
LA1489000Medicaid
LA4M2757627Medicare PIN
LA5H507F669Medicare PIN
LA5H507Medicare PIN