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Contact Information

CROSS LAKE EMERGENCY GROUP, LLC
2600 GREENWOOD RD
SHREVEPORT, LA71103-3908
 Phone: 318-212-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CROSS LAKE EMERGENCY GROUP, LLC

NPI Number 1013497114
LBN Legal business name CROSS LAKE EMERGENCY GROUP, LLC
Authorized official LISHA FALK - (VP OF CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2018
Last updated 03/23/2022 - About 4 years ago
Identifiers
LA Medicaid 2482726
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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