Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKESIDE MEDICAL WELLNESS CLINIC
Active OrganizationLAKESIDE MEDICAL WELLNESS CLINIC is a Preferred Provider Organization organization located in SULPHUR, Louisiana. NPI 1235315516 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · SULPHUR, LA
Registration Details
- NPI Number
- 1235315516
- Provider Type
- Organization
- NPI Issued
- Jan 16, 2008 (18.608980898586 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
110 E DARBONNE ST STE BSULPHUR, LA, 706634958Browse LA providers · Browse ZIP 70663
- Phone
- 3375279529
- Fax
- 3375275049
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.