Lanbake, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LANBAKE, LLC

Practice address

8480 Central Mall Dr
Port Arthur, TX 77642-8001

Phone

(409) 853-1288

Fax

(866) 275-8082

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Keli An Lanclos, CFNPNPI 1174522312

Title

Owner

Phone

(409) 853-1288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keli An Lanclos, CFNP

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1174522312
  Medicare reassignment Care Compare group Authorized official
• Gayla Hamby Baker, N.P.

  • Family Nurse Practitioner
  • Port Neches, TX
  • NPI 1356437909
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1710404637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8480 CENTRAL MALL DRIVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77642",
            "telephone_number": "409-729-2071",
            "fax_number": "877-747-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 CENTRAL MALL DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428001",
            "telephone_number": "409-853-1288",
            "fax_number": "866-275-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANBAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "LANCLOS",
        "authorized_official_first_name": "KELI",
        "authorized_official_middle_name": "AN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-853-1288",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Thomas Kunz, DDS
• Stacy Kuykendall, AUD
• L & J Pharmacies Inc (King's Pharmacy)
• L&J Pharmacies Inc (Kings Pharmacy)
• La Costa of Port Arthur PA
• Keli An Lanclos, CFNP
• Laura Lynn Langley, LPC
• Larneka Lavalais LPC PLLC
• Larneka Lavalais, LPC
• Law Academy, Inc.

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.