Ez Care Iowa LLC
Organization Active NPI Family Nurse Practitioner · Iowa, LA
NPI 1699260802 · NPPES record last updated Oct 8, 2018
Key facts
- NPI
- 1699260802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP06818 (LA)
- Legal business name
- EZ CARE IOWA LLC
- Practice address
- 621 E. Miller Avenue
Iowa, LA 70647-7064 - Phone
- (337) 884-4890
- Fax
- (337) 548-9176
- NPI assigned
- Jun 29, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Samantha G Lilley, DNP, APRN, FNP-BC
- Title
- Owner/ Family Nurse Practitioner
- Phone
- (337) 358-2701
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | AP06818 | LA | Yes |
Addresses
Primary practice location
621 E. Miller Avenue
Iowa, LA 70647-7064
Mailing address
621 E Miller Ave
Iowa, LA 70647
Phone (337) 358-2701
Other practice location 1
527 Lakota Street
Lacassine, LA 70650
Phone (337) 884-4890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2317377 | Medicaid | LA |
Other names
- Iowa EZ Care
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All providers in Iowa, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.