MEDICARE: LAURA ELIZABETH ANISSIAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	202268	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194989244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ELIZABETH ANISSIAN MD

Provider Business Mailing Address
First Line	:	1453 E BERT KOUNS INDUSTRIAL LOOP
Second Line	:	STE 221
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5634
Country	:	US
Telephone Number	:	318-795-4766
Fax Number	:	318-795-4763

Provider Business Practice Location Address
First Line	:	508 S HABANA AVE STE 220
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4161
Country	:	US
Telephone Number	:	813-870-0207
Fax Number	:	813-441-7975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	06/13/2026

Similar Medicare Providers

1457283947 — AXIS WELLNESS LLC
Practice Location Address:

508 S HABANA AVE STE 220
TAMPA, FL
33609-4161

Practice Phone: 813-870-0207
Practice Fax: 813-441-7975

1982688354 — BAYSHORE PODIATRY CENTER
Practice Location Address:

508 S HABANA AVE STE 230
TAMPA, FL
33609-4161

Practice Phone: 813-877-6636
Practice Fax: 813-877-6610

1134537384 — DR. JAMES EDWARD REPKO DPM
Practice Location Address:

508 S HABANA AVE STE 230
TAMPA, FL
33609-4161

Practice Phone: 813-877-6636
Practice Fax: 813-877-6610

1053717181 — DR. SALEENA RUTH NIEHAUS D.P.M.
Practice Location Address:

508 S HABANA AVE STE 230
TAMPA, FL
33609-4161

Practice Phone: 813-877-6636
Practice Fax:

1659141943 — MRS. AMANDA IRENE THORNGREN MSN, FNP
Practice Location Address:

508 S HABANA AVE STE 210
TAMPA, FL
33609-4161

Practice Phone: 813-873-9010
Practice Fax:

1871791459 — VICTORIA A KEAN ATC
Practice Location Address:

12901 BRUCE B DOWNS BLVD , STE 4161, MDC 36
TAMPA, FL
33612-4742

Practice Phone: 813-396-9625
Practice Fax:

Directions to “ LAURA ELIZABETH ANISSIAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.