Basic Information
Provider Information
NPI: 1760978001
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANDER
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DNP, CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 517 S SCOTT ST
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701196930
CountryCode: US
TelephoneNumber: 6015903689
FaxNumber:  
Practice Location
Address1: 2000 CANAL ST
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701123018
CountryCode: US
TelephoneNumber: 5047023000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2018
LastUpdateDate: 06/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X084714-23NHN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
367500000X901665MSY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
367500000XAP09988LAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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