Northlake Primary Care

LBN: Northlake Primary Care
Northlake Primary Care is an health care organization with primary practice located at 951 Gause Blvd Ste 2 , Slidell LA 70458-2937. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Northlake Primary Care can be contacted via phone (985) 641-6454, or through Lefran, Jose Antonio via phone (985) 641-6454.

Contact Information

Primary practice address
951 Gause Blvd Ste 2 Slidell LA 70458-2937
Phone: (985) 641-6454
Fax: (985) 641-6458
Website:
Map and Directions
Authorized official contact:
Name: Lefran, Jose Antonio Doctor of Medicine (MD)
Phone: (985) 641-6454

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD11789R Louisiana

Profile Details

NPI number 1063638831
LBN Legal business name Northlake Primary Care
DBA Doing business as
Authorized official Lefran, Jose Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063638831 NPPES
Iowa MEDICAID 14557

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