Pearson, Charles Lane
Pearson, Charles Lane is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste. 701, Baton Rouge LA 70808-4300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pearson, Charles Lane can be contacted via phone (225) 765-5864.Contact Information
Primary practice address
7777 Hennessy Blvd Ste. 701
Baton Rouge LA 70808-4300
Phone: (225) 765-5864
Fax: (225) 765-2013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15321R | Louisiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 15321R | Louisiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 15321R | Louisiana |
Profile Details
| NPI number | 1801806153 |
|---|---|
| LBN Legal business name | Pearson, Charles Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Oct 31st, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801806153 | NPPES |
| Louisiana | MEDICAID | 1464287 | |
| Louisiana | MEDICAID | 07773316 |
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