LAUREN LANE BANNON (NPI# 1770727497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770727497 |
| Entity Type | Individual |
| Full Name | LAUREN LANE BANNON |
| Other Name | LAUREN DEAN LANE |
| Credential | PA |
| Practice Address |
454 Taylor Rd Montgomery AL 36117-3563 |
| Practice Telephone | 3346139000 |
| Practice Fax Number | 3342866311 |
| Mailing Telephone | 3346139000 |
| Mailing Fax Number | 3342866311 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-652 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
454 TAYLOR RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790744589 | Joseph F Curtis Jr. | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2006-03-21 |
| 1023547833 | Manuel Escobar | Nurse Practitioner | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2017-06-06 |
| 1558780411 | Thomas Rutherford Sellers | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2014-04-08 |
| 1174945539 | Antoinette Love | Physician Assistant | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2014-01-20 |
| 1609117266 | Perry Oliver Hooper IIi | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2013-03-07 |
| 1205070901 | Robert Edgar Howell IIi | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2009-04-24 |
| 1962699611 | Southern Orthopaedic Surgeons, LLC | Durable Medical Equipment & Medical Supplies | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2007-09-26 |
| 1588784565 | Derrick M Johnson | Physician Assistant | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2007-03-31 |
| 1245315308 | Christopher Andrew Heck | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2006-10-26 |
| 1700974904 | Jason Thomas Randall | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043637572 | Alejandra Elizabeth Ceron | Physician Assistant | 24740 Shady Oaks Blvd, Montgomery, TX 77316-3892 | 2014-03-21 |
| 1821295544 | Edith C Agee | Physician Assistant | 2101 Chestnut St, Montgomery, AL 36106-1112 | 2007-06-27 |
| 1023194073 | Norman Edward Hobbs | Physician Assistant | 2055 E South Blvd Ste 301, Montgomery, AL 36116-2003 | 2006-10-31 |
| 1134587876 | Promed Surgical Assistants | Physician Assistant | 58 Cloverdale Ct, Montgomery, TX 77356-8251 | 2016-02-09 |
| 1144379348 | Melanie A Hurston | Physician Assistant | 257 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-01-09 |
| 1720154768 | Michael D Easterling | Physician Assistant | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
| 1477633279 | Kendall F Roper | Physician Assistant | 2055 E South Blvd, Suite 601, Montgomery, AL 36116-2001 | 2006-10-16 |
| 1184726580 | Amy D Rapp | Physician Assistant | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 | 2006-09-05 |
| 1124065222 | Darron E Forrest | Physician Assistant | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2006-05-31 |
| 1386604403 | Michael T Mount | Physician Assistant | 2119 E South Blvd, #200, Montgomery, AL 36116-2495 | 2006-03-24 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on LAUREN LANE BANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.