| Lakes Family Practice Clinic | |
|
5408 Provine Pl Alexandria LA 71303-3772 | |
| (318) 445-0075 | |
| Not Available |
| Full Name | Lakes Family Practice Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5408 Provine Pl, Alexandria, Louisiana |
| Authorized Official Name and Position | Sherry Everett (MANAGER) |
| Authorized Official Contact | 3184450075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Family Practice Clinic 5408 Provine Pl Alexandria LA 71303-3772 Ph: (318) 445-0075 | Lakes Family Practice Clinic 5408 Provine Pl Alexandria LA 71303-3772 Ph: (318) 445-0075 |
| NPI Number | 1972641322 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972641322 | NPI | - | NPPES |
| DD8653 | Other | LA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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