| Lakeview Internal Medicine, Llc | |
|
1151 Marguerite St Suite 600 Morgan City LA 70380-1850 | |
| (985) 384-3160 | |
| (985) 384-3163 |
| Full Name | Lakeview Internal Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1151 Marguerite St, Morgan City, Louisiana |
| Authorized Official Name and Position | Lianter W Albert (OWNER) |
| Authorized Official Contact | 9853843160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Internal Medicine, Llc 1151 Marguerite St Suite 600 Morgan City LA 70380-1850 Ph: (985) 384-3160 | Lakeview Internal Medicine, Llc 1151 Marguerite St Suite 600 Morgan City LA 70380-1850 Ph: (985) 384-3160 |
| NPI Number | 1134382971 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/02/2008 |
| Medicare PECOS PAC ID | 9436222619 |
|---|---|
| Medicare Enrollment ID | O20080722000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134382971 | NPI | - | NPPES |
| 1345172 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 061985 (Louisiana) | Primary |
| Provider Name | Lianter W Albert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407848591 PECOS PAC ID: 4981777166 Enrollment ID: I20080722000036 |
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