The General Medicine Clinic, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THE GENERAL MEDICINE CLINIC, LLC

Practice address

3608 Kirkman St
Lake Charles, LA 70607-3006

Phone

(337) 602-6302

Fax

(337) 594-0931

NPI assigned

Oct 26, 2015

Organization subpart

Yes

Parent organization

THE GENERAL MEDICINE CLINICAs reported in NPPES

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

Authorized official

Name

Janice F Lowe-Rodriguez

Title

Ceo

Phone

(337) 602-6302

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• THE GENERAL MEDICINE CLINIC, LLC Other name

Part of

The General Medicine Clinic LLC

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1073985396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706073006",
            "telephone_number": "337-602-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706073006",
            "telephone_number": "337-602-6302",
            "fax_number": "337-594-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GENERAL MEDICINE CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE GENERAL  MEDICINE CLINIC",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "LOWE-RODRIGUEZ",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-602-6302"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406442",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GENERAL MEDICINE CLINIC, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.