Lc Hospital Medicine Physicians, Llc | |
1701 Oak Park Blvd Lake Charles LA 70601-8911 | |
(337) 394-3000 | |
Not Available |
Full Name | Lc Hospital Medicine Physicians, Llc |
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Speciality | Internal Medicine |
Location | 1701 Oak Park Blvd, Lake Charles, Louisiana |
Authorized Official Name and Position | Boykin Robinson (CEO) |
Authorized Official Contact | 4045008147 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lc Hospital Medicine Physicians, Llc 400 Galleria Pkwy Se Ste 1755 Atlanta GA 30339-5934 Ph: (404) 500-8147 | Lc Hospital Medicine Physicians, Llc 1701 Oak Park Blvd Lake Charles LA 70601-8911 Ph: (337) 394-3000 |
NPI Number | 1417654724 |
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Provider Enumeration Date | 02/08/2023 |
Last Update Date | 02/08/2023 |
Medicare PECOS PAC ID | 9739546805 |
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Medicare Enrollment ID | O20230605001940 |
Identifier | Type | State | Issuer |
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1417654724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Charles O Olisa |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1265582837 PECOS PAC ID: 9436215019 Enrollment ID: I20111117000162 |
Provider Name | Karie Joy Savoy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275811572 PECOS PAC ID: 8628244282 Enrollment ID: I20120103000192 |
Provider Name | Peter W Karam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235218660 PECOS PAC ID: 6103089289 Enrollment ID: I20120705000009 |
Provider Name | Rosetta D Hixson |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1104137496 PECOS PAC ID: 2860516036 Enrollment ID: I20141215002052 |
Provider Name | David Andrew Palombo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700151016 PECOS PAC ID: 0547407785 Enrollment ID: I20150107000431 |
Provider Name | Fidelis Ajobome Okotie |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20150714001245 |
Provider Name | Louis Pulicicchio |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861437733 PECOS PAC ID: 4385745397 Enrollment ID: I20170705003086 |
Provider Name | Collin S Bowe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760896625 PECOS PAC ID: 4183997620 Enrollment ID: I20170906001345 |
Provider Name | Benjamin Martin Azevedo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821434432 PECOS PAC ID: 4284942012 Enrollment ID: I20170915001199 |
Provider Name | April D Carter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083024558 PECOS PAC ID: 3274759634 Enrollment ID: I20171206001354 |
Provider Name | Kapil Kohli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912177882 PECOS PAC ID: 2961671912 Enrollment ID: I20181015003347 |
Provider Name | Cedric Edwards |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215224563 PECOS PAC ID: 1153597935 Enrollment ID: I20200310001744 |
Provider Name | Ashton A Adekanmbi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548791940 PECOS PAC ID: 3173896081 Enrollment ID: I20200713001739 |
Provider Name | Jasmin M Demerson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396276713 PECOS PAC ID: 7113290651 Enrollment ID: I20200713001884 |
Provider Name | Ajaypal Singh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235586249 PECOS PAC ID: 9436442530 Enrollment ID: I20200714002238 |
Provider Name | Shane Lee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346778644 PECOS PAC ID: 1951642909 Enrollment ID: I20201119000857 |
Provider Name | Edward Chieke Nwanegbo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891955944 PECOS PAC ID: 6002931227 Enrollment ID: I20210203001335 |
Provider Name | Christine Dugan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427317858 PECOS PAC ID: 1456582956 Enrollment ID: I20210928000792 |
Provider Name | Laura M Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295238012 PECOS PAC ID: 5991178782 Enrollment ID: I20230224002608 |
Provider Name | Osama Quasem |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437425675 PECOS PAC ID: 6305158437 Enrollment ID: I20240515002642 |
Provider Name | Stephanie Igtiben |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1770045791 PECOS PAC ID: 6800279969 Enrollment ID: I20240517003732 |
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