LAKE AREA MANAGEMENT GROUP NPI 1578678660

NPI Information

NPI: 1578678660
Provider Name: LAKE AREA MANAGEMENT GROUP
Classification: Clinic/Center - 261QR0400X
Specialization: Rehabilitation
Entity Type: Organization
Doing Business As: LAKE AREA THERAPY & REHABILITATION
Address: 400 BYPASS LN STE 100
LIVINGSTON, TX
ZIP 77351
Phone: (936) 327-8825

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NPI Details

LAKE AREA MANAGEMENT GROUP is a rehabilitation clinic center in Livingston, TX. LAKE AREA MANAGEMENT GROUP NPI is 1578678660. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Area Therapy & Rehabilitation.

The provider's business location address is:

400 BYPASS LN STE 100
LIVINGSTON, TX
ZIP 77351-380
Phone: (936) 327-8825
Fax: (936) 328-8724

The provider's authorized official is George Deloach .
The authorized official title is Director and has the following contact phone number (936) 327-8825.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.

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
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00190698	OTHER	TEXAS	RAILROAD MEDICARE
2	0038JC	OTHER	TEXAS	BC/BS OF TEXAS

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: 11/21/2025

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