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LANNEAU D LIDE JR. MD
NPI 1073549291
Internal Medicine - Interventional Cardiology in Columbia, SC

Active since June 23, 2006
2001 LAUREL ST, COLUMBIA, SC 29204(803) 254-3278(803) 929-3256 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2016, Feb 4, 2016 (2 updates tracked since 2016).

About Lanneau D Lide Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANNEAU D LIDE JR. MD (NPI 1073549291) is an individual interventional cardiology provider in Columbia, South Carolina, licensed in South Carolina (10233) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073549291
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameLANNEAU D LIDE JR.Credential: MD
Location Address2001 LAUREL STColumbia, SC 29204-1018
Mailing Address2001 Laurel StColumbia, SC 29204-1018 · (803) 255-2655 · Fax (803) 255-2484
Phone(803) 254-3278
Fax(803) 929-3256
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateFebruary 24, 20162 updates tracked since enumeration
✔ NPI 1073549291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in SC · 10233
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 10233 (SC)
2001 LAUREL ST, Columbia, SC 29204
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Other Identifiers 2

Medicaid102338SC
Medicare UPINB91787SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA LIGON MPA-C
Physician Assistant (Medical)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
BARRETT C SHILO PA
Physician Assistant (Surgical)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
JOSEPH MICHAEL BARONE III NP
Nurse Practitioner (Acute Care)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 365-8346
BASHIR A LONE MD
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
MRS. JAMIE D CUNNINGHAM ACNP
Nurse Practitioner (Acute Care)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
PROVIDENCE CARDIOLOGY LLC
Internal Medicine (Cardiovascular Disease)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
MEGHAN BRANTLEY BLANCHETTE FNP-C
Nurse Practitioner (Family)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (843) 792-9200
MARK L ORLANDINI MD
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lanneau Lide's NPI number?

The NPI number for Lanneau Lide is 1073549291. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Lanneau Lide located?

Lanneau Lide practices at 2001 Laurel St, Columbia, SC 29204. The listed phone number is (803) 254-3278.

What is Lanneau Lide's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Lanneau Lide was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.