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NORTHLAKE NEPHROLOGY PHYSICIANS GROUP LLC NPI 1770932287


NPI Information

NPI: 1770932287
Provider Name: NORTHLAKE NEPHROLOGY PHYSICIANS GROUP LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 19D1008702

Address:
1970 N HIGHWAY 190
COVINGTON, LA
ZIP 70433
Phone: (985) 867-8585
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NORTHLAKE NEPHROLOGY PHYSICIANS GROUP LLC is a nephrology internal medicine in Covington, LA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHLAKE NEPHROLOGY PHYSICIANS GROUP LLC NPI is 1770932287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1970 N HIGHWAY 190
COVINGTON, LA
ZIP 70433-158
Phone: (985) 867-8585
Fax: (985) 867-3644

The provider's authorized official is Melissa Inman .
The authorized official title is Md and has the following contact phone number (985) 867-8585.

The CLIA number assigned to this NPI record is 19D1008702 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 6/20/2018.


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
1207RN0300XInternal MedicineNephrologyMD.207725LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERLOUISIANATAX ID

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: 11/14/2023

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