NPIMap

Organization Active NPI

Lemlo Medical Corporation

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1669649000
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEMLO MEDICAL CORPORATION
Practice address
2533 Bert Kouns Industrial Loop
Suite 106
Shreveport, LA 71118-3158
Phone
(318) 364-8107
Fax
(318) 364-8597
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Elizabeth Anderson-Doze, M.D.
Title
Owner
Phone
(318) 364-8107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X LA Primary

Addresses

Primary practice location

2533 Bert Kouns Industrial Loop
Suite 106
Shreveport, LA 71118-3158

Mailing address

PO Box 915
Minden, LA 71058-0915
Phone (318) 364-8107

National Provider Directory

National Provider Directory
Tax ID family
Lemlo Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1669649000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710580915",
            "telephone_number": "318-364-8107",
            "fax_number": "318-364-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 106",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183158",
            "telephone_number": "318-364-8107",
            "fax_number": "318-364-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMLO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-DOZE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-364-8107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.