Organization Active NPI

Letourneau Lifelike Orthotics & Prosthetics of Louisiana, Inc.

  • Prosthetic/Orthotic Supplier
  • Lake Charles, LA
National Provider Identifier
1801994074
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LETOURNEAU LIFELIKE ORTHOTICS & PROSTHETICS OF LOUISIANA, INC.
Practice address
3113 Lake St
Lake Charles, LA 70601-8337
Phone
(337) 477-9102
Fax
(337) 477-9104
NPI assigned
Sep 20, 2006
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Richard R Gingras
Title
President
Phone
(336) 397-2165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

3113 Lake St
Lake Charles, LA 70601-8337

Mailing address

PO Box 24128
Winston Salem, NC 27114-4128
Phone (336) 397-2165

Other identifiers 1

IdentifierTypeStateIssuer
1651681MedicaidLA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3848 Ryan St
Lake Charles, LA 70605
Phone (337) 477-9102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1801994074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24128",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271144128",
            "telephone_number": "336-397-2165",
            "fax_number": "336-397-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018337",
            "telephone_number": "337-477-9102",
            "fax_number": "337-477-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETOURNEAU LIFELIKE ORTHOTICS & PROSTHETICS OF LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-397-2165"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651681",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.