Organization Active NPI

Lemlo Medical Corporation, Apmc

  • Family Medicine Physician
  • Minden, LA
National Provider Identifier
1043374291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12209R Issued in LA
Legal business name
LEMLO MEDICAL CORPORATION, APMC
Practice address
128 Homer Rd
Minden, LA 71055-2732
Phone
(318) 382-1976
Fax
(318) 377-9869
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elizabeth R Anderson-Doze, MDNPI 1508861147
Title
Owner
Phone
(318) 382-1976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 12209R LA Primary

Addresses

Primary practice location

128 Homer Rd
Minden, LA 71055-2732

Mailing address

PO Box 915
Minden, LA 71058-0915
Phone (318) 382-1976

Other identifiers 1

IdentifierTypeStateIssuer
1440671MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lemlo Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043374291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710580915",
            "telephone_number": "318-382-1976",
            "fax_number": "318-377-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552732",
            "telephone_number": "318-382-1976",
            "fax_number": "318-377-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMLO MEDICAL CORPORATION, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-DOZE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-382-1976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "12209R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440671",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.