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MEMORIAL MEDICAL GROUP, LLC
NPI 1750846663
Family Medicine in Lake Charles, LA

Active since February 05, 2019
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601(337) 494-3000 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Feb 5, 2019 (2 updates tracked since 2019).

About Memorial Medical Group, Llc NPPES

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

MEMORIAL MEDICAL GROUP, LLC (NPI 1750846663) is a healthcare organization registered as a family medicine in Lake Charles, Louisiana and active in the NPI registry since February 2019. The organization lists Sarah Theresa Leblanc, Business Office Analyst /programmer, as its authorized official.

NPPES Registry Identity

NPI1750846663
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMORIAL MEDICAL GROUP, LLC
Location Address1701 OAK PARK BLVDLake Charles, LA 70601-8911
Mailing Address1701 Oak Park BlvdLake Charles, LA 70601-8911 · (337) 494-3000
Phone(337) 494-3000
Organization SubpartNo
Authorized OfficialSarah Theresa LeblancBusiness Office Analyst /programmer · (337) 494-2577
Enumeration DateFebruary 5, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1750846663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1701 OAK PARK BLVD, Lake Charles, LA 70601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT MICHAEL ANDERSON M.D.
Emergency Medicine
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2086
LACIE COX PHARMD
Pharmacist
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-3180
PROFESSIONAL EMERGENCY MEDICINE MANAGEMENT -- LAKE CHARLES LLC
Emergency Medicine
1701 OAK PARK BLVD, EMERGENCY DEPT
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-3036
BRITTANY KHAMPHILAVONG PA
Physician Assistant
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-3000
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
General Acute Care Hospital
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-3000
LYNSIE FULKERSON PHARMD
Pharmacist
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-3180
JAMES G MAZE MD
Radiology (Radiation Oncology)
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2121
LC OF LOUISIANA HEALTHCARE LLC
Anesthesiology
1701 OAK PARK BLVD, LAKE CHARLES MEMORIAL HEALTH SYSTEM
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-3000

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 Memorial Medical Group, LLC's NPI number?

The NPI number for Memorial Medical Group, LLC is 1750846663. It was assigned to this organization in the NPPES registry on February 5, 2019.

Where is Memorial Medical Group, LLC located?

Memorial Medical Group, LLC is located at 1701 Oak Park Blvd, Lake Charles, LA 70601. The listed phone number is (337) 494-3000.

What is Memorial Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Memorial Medical Group, LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.