Individual provider Active NPI

Lee Marc Schwalben, M.D.

  • Legal Medicine (M.D./D.O.) Physician
  • Lake Charles, LA
National Provider Identifier
1407044522
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X
License
10204R Issued in LA
Practice address
616 Broad St
Lake Charles, LA 70601-4337
Phone
(917) 862-7022
Fax
(337) 437-7890
NPI assigned
Oct 15, 2007
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 168114 NY
Internal Medicine Physician 207R00000X 10204R LA
Legal Medicine (M.D./D.O.) Physician 209800000X 168114 NY
Legal Medicine (M.D./D.O.) Physician 209800000X 10204R LA Primary

Addresses

Primary practice location

616 Broad St
Lake Charles, LA 70601-4337

Mailing address

616 Broad St
Lake Charles, LA 70601-4337
Phone (917) 862-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
168114NYMDInternal Medicine Physician
10204RLAMDLegal Medicine (M.D./D.O.) Physician

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1407044522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BROAD ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014337",
            "telephone_number": "917-862-7022",
            "fax_number": "337-437-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BROAD ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014337",
            "telephone_number": "917-862-7022",
            "fax_number": "337-437-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALBEN",
        "first_name": "LEE",
        "middle_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168114",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "10204R",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "168114",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "LA",
            "license": "10204R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.