Lakeside Family Medicine PLLC
Organization Active NPI Family Medicine Physician · Many, LA
NPI 1083879225 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1083879225
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12198R (LA)
- Legal business name
- LAKESIDE FAMILY MEDICINE PLLC
- Practice address
- 12060 Texas Hwy
Many, LA 71449-5605 - Phone
- (318) 256-6465
- NPI assigned
- Jul 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Kay Nelson, M.D.
- Title
- Physician/Owner
- Phone
- (318) 256-6465
National Provider Directory
Locations
12060 Texas Hwy
Many, LA 71449
Phone (318) 256-6044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 12198R | LA | Yes |
Addresses
Primary practice location
12060 Texas Hwy
Many, LA 71449-5605
Mailing address
12060 Texas Hwy
Many, LA 71449-5605
Other providers in Many, LA
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- Haley Killian
- Tomiko Ladkin
- Jesse L Lambert
- Amber Lamers
- James R Lang
- Angela Edwards Ledford
- Christopher L Lee
All providers in Many, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.