MEDICARE: DR. LIANTER W ALBERT 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	016985	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	:	1407848591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIANTER W ALBERT MD

Provider Business Mailing Address
First Line	:	1151 MARGUERITE ST
Second Line	:	SUITE 600
City	:	MORGAN CITY
State	:	LA
Zip	:	70380-1850
Country	:	US
Telephone Number	:	985-384-3160
Fax Number	:	985-384-3163

Provider Business Practice Location Address
First Line	:	1151 MARGUERITE ST
Second Line	:	SUITE 600
City	:	MORGAN CITY
State	:	LA
Zip	:	70380-1850
Country	:	US
Telephone Number	:	985-384-3160
Fax Number	:	985-384-3163

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	01/04/2021

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