Organization · Type 2 NPI
Lakeside Medical Wellness Clinic
Preferred Provider Organization · Sulphur, LA
NPI number
1235315516
Active
Practice location
110 E Darbonne St Ste B
Sulphur, LA 70663-4958
Fax (337) 527-5049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | None listed |
Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
About NPI 1235315516
Lakeside Medical Wellness Clinic's National Provider Identifier is 1235315516, issued on Jan 16, 2008. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Sulphur, LA. The record was last updated on Jul 21, 2022.