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LAKE PROFESSIONALS LLC NPI 1497313670


NPI Information

NPI: 1497313670
Provider Name: LAKE PROFESSIONALS LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 19D2204301

Address:
501 W SAINT MARY BLVD STE 210
LAFAYETTE, LA
ZIP 70506
Phone: (337) 233-1114
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LAKE PROFESSIONALS LLC is a general practice in Lafayette, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LAKE PROFESSIONALS LLC NPI is 1497313670. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 W SAINT MARY BLVD STE 210
LAFAYETTE, LA
ZIP 70506-699
Phone: (337) 233-1114

The provider's authorized official is Douglass H Perret .
The authorized official title is Ceo and has the following contact phone number (337) 233-1114.

The CLIA number assigned to this NPI record is 19D2204301 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/3/2019 and was last updated on 4/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.