Provider Demographics
NPI:1801993712
Name:LANCE TURKISH, M.D.,APC
Entity type:Organization
Organization Name:LANCE TURKISH, M.D.,APC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURKISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-897-7989
Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3532
Mailing Address - Country:US
Mailing Address - Phone:504-897-7989
Mailing Address - Fax:504-897-7980
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:SUITE 305
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-897-7989
Practice Address - Fax:504-897-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACN9734OtherRAILROAD MEDICARE
LACN9734OtherRAILROAD MEDICARE