Lifecare Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD203733 Issued in LA

Legal business name

LIFECARE CLINIC, LLC

Practice address

740 Keyser Ave
Suite F
Natchitoches, LA 71457-6037

Phone

(318) 354-0552

NPI assigned

Jun 10, 2010

Last updated

Jun 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Oluwatoyin Olatinwo, MD

Title

Owner / Provider

Phone

(318) 214-2200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1073833240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 KEYSER AVE",
            "address_2": "SUITE F",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576037",
            "telephone_number": "318-354-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 KEYSER AVE",
            "address_2": "SUITE F",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576037",
            "telephone_number": "318-354-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "OLATINWO",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "318-214-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD203733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Leon
• Glenita Monique Leonard
• Susanna Squyres Lewis, MSN, APRN, FNP-BC
• Taprica Lewis
• LHCG-IV, LLC (Louisiana Extended Care Hospital of Natchitoches)
• Lifted Fitness and Wellness LLC
• Lilith of Natchitoches
• Nyaishya Lilly
• Lincare Inc
• Kimberly Ann Litton, D.C.

• Internal Medicine Physician in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.