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LAKESIDE MEDICAL WELLNESS CLINIC
NPI 1235315516
Preferred Provider Organization in Sulphur, LA

Active since January 16, 2008
110 E DARBONNE ST STE B, SULPHUR, LA 70663(337) 527-9529(337) 527-5049 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Medical Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE MEDICAL WELLNESS CLINIC (NPI 1235315516) is a healthcare organization registered as a preferred provider organization in Sulphur, Louisiana and active in the NPI registry since January 2008. The organization lists George E Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1235315516
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameLAKESIDE MEDICAL WELLNESS CLINIC
Location Address110 E DARBONNE ST STE BSulphur, LA 70663-4958
Mailing Address110 E Darbonne St Ste BSulphur, LA 70663-4958 · (337) 527-9529 · Fax (337) 527-5049
Phone(337) 527-9529
Fax(337) 527-5049
Organization SubpartNo
Authorized OfficialGeorge E SmithOwner · (337) 527-9529
Enumeration DateJanuary 16, 2008
Last NPPES UpdateJuly 21, 2022
✔ NPI 1235315516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
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.
110 E DARBONNE ST STE B, Sulphur, LA 70663
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Medical Wellness Clinic's NPI number?

The NPI number for Lakeside Medical Wellness Clinic is 1235315516. It was assigned to this organization in the NPPES registry on January 16, 2008.

Where is Lakeside Medical Wellness Clinic located?

Lakeside Medical Wellness Clinic is located at 110 E Darbonne St Ste B, Sulphur, LA 70663. The listed phone number is (337) 527-9529.

What is Lakeside Medical Wellness Clinic's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Medical Wellness Clinic was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.