NPL Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

023139 Issued in LA

Legal business name

NPL MEDICAL LLC

Practice address

825 E Butcher Switch Rd
Lafayette, LA 70507-3910

Phone

(337) 288-0779

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Prof. Nedwin Paul Landreneau Jr., M.D.

Title

Owner / M.D.

Phone

(337) 288-0779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1669710752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E BUTCHER SWITCH RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073910",
            "telephone_number": "337-288-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E BUTCHER SWITCH RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073910",
            "telephone_number": "337-288-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NPL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "LANDRENEAU",
        "authorized_official_first_name": "NEDWIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER / M.D.",
        "authorized_official_telephone_number": "337-288-0779",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lafayette, LA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.