Lafayette Integrative Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAFAYETTE INTEGRATIVE MEDICINE LLC

Practice address

4212 W Congress St Ste 2400B
Lafayette, LA 70506-6768

Phone

(337) 703-3330

Fax

(337) 703-3331

NPI assigned

Nov 11, 2021

Last updated

Nov 11, 2021By 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

Elizabeth W McLain, MDNPI 1851307748

Title

Physician / Owner

Phone

(337) 580-3005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Wood McLain, MD

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1851307748
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1275299489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 2400B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066768",
            "telephone_number": "337-703-3330",
            "fax_number": "337-703-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 2400B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066768",
            "telephone_number": "337-703-3330",
            "fax_number": "337-703-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "337-580-3005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafayette Health Ventures, Inc. (Orthotic Center)
• Lafayette Health Ventures, Inc. (Hospitalist Services)
• Lafayette Health Ventures. Inc (OB-GYN Clinic)
• Lafayette Heart Clinic, LLC
• Lafayette Heart Hospital LLC
• Lafayette Intensive Outpatient, LLC
• Lafayette Internal Medicine Clinic LLC
• Lafayette la Opco LLC (Maison de Lafayette of LA)
• Lafayette OB Hospitalists LLC (Lafayette OB Hospitalists)
• Lafayette Orthotics, Inc.

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.