Lakisha Lee, MD | |
14225 Highway 73, Prairieville, LA 70769-3616 | |
(225) 673-3033 | |
(225) 644-5213 |
Full Name | Lakisha Lee |
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Gender | Female |
Speciality | Pediatrics |
Location | 14225 Highway 73, Prairieville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548489875 | NPI | - | NPPES |
1355330 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 203778 (Louisiana) | Primary |
Entity Name | Our Lady Of Lake Ascension, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
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Lakisha Lee, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0011 | Lakisha Lee, MD 14225 Highway 73, Prairieville, LA 70769-3616 Ph: (225) 673-3033 |
Dr. Kendra Lashawn Michael, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16260 Airline Highway, Prairieville, LA 70769 Phone: 225-761-5211 | |
Meghan Vial Louque, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17038 Commerce Centre Dr, Prairieville, LA 70769 Phone: 225-744-4484 Fax: 225-677-9359 | |
John Knapp, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14225 Highway 73, Prairieville, LA 70769 Phone: 225-765-5500 Fax: 225-673-3132 | |
Dr. Lisa Khanh Le, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17609 Old Jefferson Hwy, Prairieville, LA 70769 Phone: 225-647-8511 Fax: 225-744-2992 | |
Andrea Mcdonald Ocmond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17038 Commerce Centre Dr, Prairieville, LA 70769 Phone: 225-744-4484 Fax: 225-677-9359 |