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MINOR MEDICAL CLINIC LLC
NPI 1720008675
Clinic/Center - Health Service in Lake Charles, LA

Active since July 20, 2006
109 EXECUTIVE DR., SUITE C, LAKE CHARLES, LA 70611(337) 217-0922(337) 217-0925 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minor Medical Clinic Llc NPPES

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

MINOR MEDICAL CLINIC LLC (NPI 1720008675) is a healthcare organization registered as a health service in Lake Charles, Louisiana and active in the NPI registry since July 2006. The organization lists Karen Marie Whitehead, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1720008675
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMINOR MEDICAL CLINIC LLC
Location Address109 EXECUTIVE DR., SUITE CLake Charles, LA 70611-5328
Mailing Address109 Executive Dr., Suite CLake Charles, LA 70611-5328 · (337) 217-0922 · Fax (337) 217-0925
Phone(337) 217-0922
Fax(337) 217-0925
Organization SubpartNo
Authorized OfficialKaren Marie WhiteheadFamily Nurse Practitioner · (337) 217-0922
Enumeration DateJuly 20, 2006
Last NPPES UpdateNovember 5, 2010
✔ NPI 1720008675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
109 EXECUTIVE DR., Lake Charles, LA 70611
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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 Minor Medical Clinic LLC's NPI number?

The NPI number for Minor Medical Clinic LLC is 1720008675. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Minor Medical Clinic LLC located?

Minor Medical Clinic LLC is located at 109 Executive Dr. Suite C, Lake Charles, LA 70611. The listed phone number is (337) 217-0922.

What is Minor Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Minor Medical Clinic LLC was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.