Active NPI
Lyle Lanning Lecorgne, PH.D.
- Clinical Psychologist
- Lafayette, LA
National Provider Identifier
1609818418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 365
- Practice address
- 401 Audubon Blvd
Suite 206-B
Lafayette, LA 70503-2676 - Phone
- (337) 232-0060
- Fax
- (337) 232-0062
- NPI assigned
- Jun 13, 2006
- Last updated
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 365 | LA | Primary |
Addresses
Primary practice location
401 Audubon Blvd
Suite 206-B
Lafayette, LA 70503-2676
Mailing address
401 Audubon Blvd
Suite 206-B
Lafayette, LA 70503-2676
Phone (337) 232-0060
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 365 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1609818418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 AUDUBON BLVD",
"address_2": "SUITE 206-B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032676",
"telephone_number": "337-232-0060",
"fax_number": "337-232-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 AUDUBON BLVD",
"address_2": "SUITE 206-B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032676",
"telephone_number": "337-232-0060",
"fax_number": "337-232-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECORGNE",
"first_name": "LYLE",
"middle_name": "LANNING",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.