Lake Area Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

133V00000X Issued in LA

Legal business name

LAKE AREA MEDICAL CENTER

Practice address

4200 Nelson Rd
Lake Charles, LA 70605

Phone

(337) 474-6370

NPI assigned

Aug 5, 2015

Organization subpart

No

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

Authorized official

Name

Marilyn Jane Sullins, R. D.

Title

Registered Dietitian

Phone

(337) 475-4724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1962888586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054118",
            "telephone_number": "337-474-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-474-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "SULLINS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "337-475-4724",
        "authorized_official_credential": "R. D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "133V00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Area Counseling, LLC
• Lake Area Dentistry- Moss Bluff
• Lake Area Dentistry, LLC
• Lake Area Foot Care Center, Inc.
• Lake Area Laboratories
• Lake Area Medical Services
• Lake Area Medical Services, LLC
• Lake Area Neuropsychology Associates Inc
• Lake Area Physician Services LLC
• Lake Area Physician Services LLC

• General Acute Care Hospital in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.