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M&M FAMILY CLINIC INC. NPI 1700978251


NPI Information

NPI: 1700978251
Provider Name: M&M FAMILY CLINIC, INC.
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1432 FOURNET ST
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-4220
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M&M FAMILY CLINIC, INC. is an adult health clinical nurse specialist in Lake Charles, LA. M&M FAMILY CLINIC, INC. NPI is 1700978251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1432 FOURNET ST
LAKE CHARLES, LA
ZIP 70601-452
Phone: (337) 439-4220
Fax: (337) 439-6351

The provider's authorized official is Melvin Morris .
The authorized official title is Vice President and has the following contact phone number (337) 439-4220.

The enumeration date for this NPI number is 9/29/2006 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
1364SA2200XClinical Nurse SpecialistAdult HealthR050908LOUISIANAYes

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
11448681MEDICAIDLOUISIANA
21106798MEDICAIDLOUISIANA

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: 5/5/2024

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