| Lsuhsc Family Practice Center | |
|
1525 Oak Park Blvd Lake Charles LA 70601-8849 | |
| (337) 494-6767 | |
| (337) 494-6750 |
| Full Name | Lsuhsc Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1525 Oak Park Blvd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Dawn Johnson-hatcher (CFO) |
| Authorized Official Contact | 3374942094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsuhsc Family Practice Center Po Box 123453, Dept 3453 Dallas TX 75312-0001 Ph: (337) 494-2921 | Lsuhsc Family Practice Center 1525 Oak Park Blvd Lake Charles LA 70601-8849 Ph: (337) 494-6767 |
| NPI Number | 1073514493 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 0042297558 |
|---|---|
| Medicare Enrollment ID | O20040702000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073514493 | NPI | - | NPPES |
| 1947865 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bradley H Loewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619915733 PECOS PAC ID: 7214968767 Enrollment ID: I20050825000084 |
| Provider Name | Earl John J Soileau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912999707 PECOS PAC ID: 0446252316 Enrollment ID: I20070206000065 |
| Provider Name | Brian L Gamborg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295795755 PECOS PAC ID: 4981779386 Enrollment ID: I20080820000130 |
| Provider Name | Danette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336129444 PECOS PAC ID: 2365505997 Enrollment ID: I20090108000380 |
| Provider Name | Tuananh M Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609881440 PECOS PAC ID: 7113996547 Enrollment ID: I20090129000539 |
| Provider Name | Brian R Harrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770613705 PECOS PAC ID: 5092895938 Enrollment ID: I20100928001505 |
| Provider Name | Alan L Lebato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528069739 PECOS PAC ID: 5395749592 Enrollment ID: I20110128000689 |
| Provider Name | Jessica N Sonnier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205094687 PECOS PAC ID: 0446420632 Enrollment ID: I20110825000428 |
| Provider Name | Caroline Champagne Courville |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437310703 PECOS PAC ID: 2163699919 Enrollment ID: I20141118001902 |
| Provider Name | Elizabeth S Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699973222 PECOS PAC ID: 8628320702 Enrollment ID: I20181018001008 |
| Provider Name | Tiffany Mary Dufrene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225535818 PECOS PAC ID: 5991053043 Enrollment ID: I20220121001573 |
| Provider Name | Timothy Takach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386105740 PECOS PAC ID: 7012240542 Enrollment ID: I20220913001175 |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |