Organization Active NPI

MDL Med Corp LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lake Charles, LA
National Provider Identifier
1881834406
Registry record updated Feb 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD.200687 Issued in LA
Legal business name
MDL MED CORP LLC
Practice address
2415 Stoneybrook
Lake Charles, LA 70605-4036
Phone
(337) 474-9197
NPI assigned
Feb 22, 2009
Last updated
Feb 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2009

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

Authorized official

Name
Dr. Mark D Lafuria, M.D.NPI 1427181908
Title
Owner
Phone
(337) 474-9197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD.200687 LA Primary

Addresses

Primary practice location

2415 Stoneybrook
Lake Charles, LA 70605-4036

Mailing address

2415 Stoneybrook
Lake Charles, LA 70605-4036
Phone (337) 474-9197

National Provider Directory

National Provider Directory

Locations

534 15th St
Lake Charles, LA 70601
Phone (337) 439-8338

Practitioners & affiliated clinicians

Practitioners 2

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": "1235260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235260800000",
    "number": "1881834406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 STONEYBROOK",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054036",
            "telephone_number": "337-474-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 STONEYBROOK",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054036",
            "telephone_number": "337-474-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDL MED CORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-22",
        "status": "A",
        "authorized_official_last_name": "LAFURIA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-474-9197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "LA",
            "license": "MD.200687",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 22, 2009; 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.