Organization Active NPI

Spine Institute of Southwest Louisiana, LLC

  • Interventional Pain Medicine Physician
  • Lafayette, LA
National Provider Identifier
1982834966
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
203148 Issued in LA
Legal business name
SPINE INSTITUTE OF SOUTHWEST LOUISIANA, LLC
Practice address
501 W Saint Mary Blvd
Suite 416
Lafayette, LA 70506-4600
Phone
(504) 304-2752
Fax
(504) 324-3416
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Kevin J Lasseigne, MD
Title
Owner / Operator
Phone
(504) 304-2752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 203148 LA Primary

Addresses

Primary practice location

501 W Saint Mary Blvd
Suite 416
Lafayette, LA 70506-4600

Mailing address

501 W Saint Mary Blvd
Suite 416
Lafayette, LA 70506-4600
Phone (504) 304-2752

National Provider Directory

National Provider Directory

Locations

4809 Ambassador Caffery Pkwy
Ste 420
Lafayette, LA 70508
Phone (337) 470-6498

501 W Saint Mary Blvd
#416
Lafayette, LA 70506
Phone (337) 289-2596

501 W Saint Mary Blvd
Ste 416
Lafayette, LA 70506
Phone (337) 289-4746

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1982834966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W SAINT MARY BLVD",
            "address_2": "SUITE 416",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064600",
            "telephone_number": "504-304-2752",
            "fax_number": "504-324-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W SAINT MARY BLVD",
            "address_2": "SUITE 416",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064600",
            "telephone_number": "504-304-2752",
            "fax_number": "504-324-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INSTITUTE OF SOUTHWEST LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "LASSEIGNE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "504-304-2752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "203148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.