Lake Charles Urgent Care
Organization Active NPI Urgent Care Clinic/Center · Lake Charles, LA
NPI 1306135892 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1306135892
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- LAKE CHARLES URGENT CARE
- Practice address
- 1905 Country Club Rd
Lake Charles, LA 70605-5203 - Phone
- (337) 990-8000
- Fax
- (337) 990-8010
- NPI assigned
- Apr 5, 2011
- Organization subpart
- No
Authorized official
- Name
- Melvin J Marque, MD
- Title
- Owner/Medical Director
- Phone
- (337) 990-8000
Member organizations 1
Practitioners 52
-
Lauren Courville, FNP
-
Kenneth Lane Gary, N.P.
-
Lauren Hay, NP
-
Charmaine Lemaire, CFNP
-
Jessica Lominac, NP
-
Tracy Erik Sedano, APRN, FNP-C
-
Jeffrey John Daigle, P.A.
-
Jennifer Colleen Flavin Jacobs, MPAS, PA-C
-
Kevin James Murphy, PA-C
-
Robert Dale Spencer, P.A.
-
Cher Yan Aymond, MD
-
Regina Bougie, FNP
-
Kevin Dibenedetto, M.D.
-
Michael T Duplechain, M.D.
-
Nicole Marie Hyatt, FNP
-
Kyle Lee James, MD
-
Holley Nanette Kelley, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2024375 | Lake Charles Urgent Care, LLC | Certificate of waiver | May 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110817000061 | LA | Part B Supplier - Clinic/Group Practice | 1052580644 |
Receives reassigned benefits from 51 practitioners Practice locations: Lake Charles, LA |
National Provider Directory
Locations
1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1905 Country Club Rd
Lake Charles, LA 70605-5203
Mailing address
1905 Country Club Rd
Lake Charles, LA 70605-5203
Phone (337) 990-8000
Other providers in Lake Charles, LA
- Lake Charles Primary Care and Wellness
- Lake Charles Rheumatology LLC
- Lake Charles Senior Care Clinic LLC
- Lake Charles Sports & Rehab
- Lake Charles Urgent Care
- Lake Physical Therapy, LLC
- Lake Wellness Center, LLC
- Lakeshore Medic Pharmacy
- Lakeside Optical
- Amanda Deanne Lamb
All providers in Lake Charles, LA · Urgent Care Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.