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LSUHSC FAMILY PRACTICE CENTER @ LCMH NPI 1073514493


NPI Information

NPI: 1073514493
Provider Name: LSUHSC FAMILY PRACTICE CENTER @ LCMH

Other Name: LSUHSC FAMILY PRACTICE CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1525 OAK PARK BLVD
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 494-6767
Get Directions

LSUHSC FAMILY PRACTICE CENTER @ LCMH is a family medicine in Lake Charles, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LSUHSC FAMILY PRACTICE CENTER @ LCMH NPI is 1073514493. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Lsuhsc Family Practice Center.

The provider's business location address is:

1525 OAK PARK BLVD
LAKE CHARLES, LA
ZIP 70601-849
Phone: (337) 494-6767
Fax: (337) 494-6750

The provider's authorized official is Dawn Johnson-hatcher .
The authorized official title is Cfo and has the following contact phone number (337) 494-2094.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 12/4/2023.


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
1207Q00000XFamily MedicineYes

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
11947865MEDICAIDLOUISIANA

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

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