LAKE ARTHUR HEALTH CLINIC LLC NPI 1609850270

NPI Information

  • NPI: 1609850270
  • Provider Name: LAKE ARTHUR HEALTH CLINIC LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 19D0990543
  • Address: 328 KELLOGG AVE
    LAKE ARTHUR, LA
    ZIP 70549
  • Phone: (337) 774-0100

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NPI Details

LAKE ARTHUR HEALTH CLINIC LLC is a family nurse practitioner in Lake Arthur, LA. LAKE ARTHUR HEALTH CLINIC LLC NPI is 1609850270. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

328 KELLOGG AVE
LAKE ARTHUR, LA
ZIP 70549-116
Phone: (337) 774-0100
Fax: (337) 774-0111

The provider's authorized official is Tina K Monlezun .
The authorized official title is Administrator and has the following contact phone number (337) 774-0100.

The CLIA number assigned to this NPI record is 19D0990543 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2005 and was last updated on 3/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPO2500LOUISIANAYes

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
11442488MEDICAIDLOUISIANA

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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