National Provider Identifier Database

LAKESIDE MEDICAL WELLNESS CLINIC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

LAKESIDE MEDICAL WELLNESS CLINIC
110 E DARBONNE ST STE B
SULPHUR, LA70663-4958
Phone: 337-527-9529
Fax: 337-527-5049
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for LAKESIDE MEDICAL WELLNESS CLINIC

NPI Number 1235315516
Legal business name
LBN
LAKESIDE MEDICAL WELLNESS CLINIC
Authorized official GEORGE SMITH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/16/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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