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NPI Code Detail

MEDICARE: MR. TERRY J LAIN MD

MEDICARE: MR. TERRY J LAIN 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
12084B0040XBehavioral Neurology & Neuropsychiatry PhysicianMD.201793LA
22084B0040XBehavioral Neurology & Neuropsychiatry PhysicianMD-201793LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295751006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TERRY J LAIN MD
Provider Business Mailing Address
First Line : 5610 READ BLVD.
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70127-3413
Country : US
Telephone Number : 504-241-8188
Fax Number : 504-264-5941
Provider Business Practice Location Address
First Line : 5610 READ BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70127-3106
Country : US
Telephone Number : 504-241-8188
Fax Number : 504-264-5941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 03/07/2023

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