Provider Demographics
NPI:1548416969
Name:CUMMINGS, LEE S (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:S
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 HOUMA BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2673
Mailing Address - Country:US
Mailing Address - Phone:504-988-5344
Mailing Address - Fax:
Practice Address - Street 1:4320 HOUMA BLVD STE 700
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2673
Practice Address - Country:US
Practice Address - Phone:504-988-5344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011016077204F00000X
LA345817204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1548416969Medicaid
MO1548416969Medicaid