North Lake Pain Clinic

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

NORTH LAKE PAIN CLINIC

Practice address

1718 N Martin Luther King Hwy
Lake Charles, LA 70601-1351

Phone

(337) 433-6500

NPI assigned

May 23, 2024

Organization subpart

No

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

Authorized official

Name

Vanchi Ronnie Vu, MDNPI 1265638167

Title

Ceo

Phone

(337) 433-6500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

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

• Vanchi Ronnie Vu, MD

  • Pain Medicine Physician
  • Lake Charles, LA
  • NPI 1265638167
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1184463606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 N MARTIN LUTHER KING HWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706011351",
            "telephone_number": "337-433-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 N MARTIN LUTHER KING HWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706011351",
            "telephone_number": "337-433-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKE PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "VANCHI",
        "authorized_official_middle_name": "RONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-433-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Normal Life of Lake Charles, Inc.
• Normal Life of Lake Charles, Inc.
• Normal Life of Lake Charles, Inc.
• Normal Life of Lake Charles, Inc.
• Normal Life of Lake Charles, Inc.
• North Lakeside Medical Clinic LLC
• Randy Edward North, M.A., LPC, LMFT
• Northland Hearing Centers Inc (Sears Hearing Aid Centers)
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Therese Ann Novak, N.P.

• Pain Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.