Basic Information
Provider Information
NPI: 1457618019
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALI
FirstName: LOBNA
MiddleName: HUSSAIN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1542 TULANE AVE
Address2: BOX T4 M2
City: NEW ORLEANS
State: LA
PostalCode: 70112
CountryCode: US
TelephoneNumber: 5045682556
FaxNumber:  
Practice Location
Address1: 1542 TULANE AVE
Address2: ROOM 442
City: NEW ORLEANS
State: LA
PostalCode: 70112
CountryCode: US
TelephoneNumber: 5045684626
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/19/2012
LastUpdateDate: 01/19/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QG0300X301211LAY Allopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine

No ID Information.


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