LAKE CRESCENT HEALTH LLC NPI 1255156113

NPI Information

  • NPI: 1255156113
  • Provider Name: LAKE CRESCENT HEALTH LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • Address: 301 MAIN ST STE 2200
    BATON ROUGE, LA
    ZIP 70801
  • Phone: (504) 319-6078

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NPI Details

LAKE CRESCENT HEALTH LLC is a family nurse practitioner in Baton Rouge, LA. LAKE CRESCENT HEALTH LLC NPI is 1255156113. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

301 MAIN ST STE 2200
BATON ROUGE, LA
ZIP 70801-014
Phone: (504) 319-6078

The provider's authorized official is Lakeisha Mack Long .
The authorized official title is Member/manager and has the following contact phone number (504) 319-6078.

The enumeration date for this NPI number is 11/18/2024 and was last updated on 2/4/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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