Lakes Area Pain and Rehab PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

LAKES AREA PAIN AND REHAB PLLC

Practice address

755 N 11TH St Ste P2280
Beaumont, TX 77702-1525

Phone

(409) 892-4600

Fax

(409) 892-4605

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Craig Anthony Charleston, MD

Title

Partner

Phone

(409) 892-4600

Specialties & licenses 1

Addresses

Other names 1

• LAKES AREA PAIN AND REHAB Other name

Locations

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1104128743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021525",
            "telephone_number": "409-892-4600",
            "fax_number": "409-892-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021525",
            "telephone_number": "409-892-4600",
            "fax_number": "409-892-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA PAIN AND REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "CHARLESTON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "409-892-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKES AREA PAIN AND REHAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Takesha Laday
• Tanna Lafleur, REGISTERED NURSE
• Ana Lagos
• Frances Lagrone
• Morgan G. Laird
• Karuppana Goundar Lakshmanan, M.D.
• Ramaswamy Lakshmanan, M.D.
• Radha J Lal, MD FACOG
• Trinh Lam
• Lamar University

• Interventional Pain Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.