Lafourche Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LAFOURCHE MEDICAL GROUP

Practice address

4912 Highway 1
Raceland, LA 70394-2559

Phone

(985) 242-3094

Fax

(985) 242-3093

NPI assigned

May 17, 2015

Last updated

May 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Lim, M.D.

Title

Medical Director

Phone

(504) 982-2536

Specialties & licenses 1

Addresses

Tax ID family

Lafourche Medical Group2 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.

• Lafourche Medical Group LLC

  dba St Charles Urgent Care

  • Urgent Care Clinic/Center
  • Destrehan, LA
  • NPI 1750749263
  NPD tax ID

Locations

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431820800000",
    "number": "1730567256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942559",
            "telephone_number": "985-242-3094",
            "fax_number": "985-242-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942559",
            "telephone_number": "985-242-3094",
            "fax_number": "985-242-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFOURCHE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-982-2536",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King Clinic Inc
• John C King, MD
• Sarah H Knight, M.D.
• La Vie Dental LLC
• Bethany Griffin Labat, PMHNP
• Lafourche Medical Group LLC (Lafourche Urgent Care)
• Lafourche Parish Hospital Service District #2 (St Anne General Hospital)
• Lafourche Parish Hospital Service District #2 (St Anne General Hospital)
• Lafourche Parish Hospital Service District #2 (St Anne General Hospital)
• Lidonna M Lancaster, MD

• General Practice Physician in Raceland, LA
• Providers in Raceland, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; 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.