M&M Family Clinic, Inc.

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

R050908 Issued in LA

Legal business name

M&M FAMILY CLINIC, INC.

Practice address

1432 Fournet St
Lake Charles, LA 70601-2452

Phone

(337) 439-4220

Fax

(337) 439-6351

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Melvin Morris, M D

Title

Vice President

Phone

(337) 439-4220

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700978251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 FOURNET ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012452",
            "telephone_number": "337-439-4220",
            "fax_number": "337-439-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 FOURNET ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012452",
            "telephone_number": "337-439-4220",
            "fax_number": "337-439-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M FAMILY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "337-439-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "LA",
            "license": "R050908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106798",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448681",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antoinette Luquette, NP
• Justin Stryder Lyman, M.D.
• Lynn E Foret MD
• Gilbert Anson Lyon III, LCSW
• M Alan Hinton MD Apmc
• Erin Macinnes, MA, MSW, LCSW
• Latosha Babineaux Mackey, NP
• Amy Elizabeth Macmullin, M.D.
• Kelli Hilliard Maddox, LCSW
• Staci Maddox

• Adult Health Clinical Nurse Specialist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Adult Health Clinical Nurse Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.