COASTAL PAIN CARE LAKE CHARLES, LLC
NPI 1881641405
Physical Medicine & Rehabilitation - Pain Medicine in Lake Charles, LA

Q: What is Coastal Pain Care Lake Charles, LLC's NPI number?

The NPI number for Coastal Pain Care Lake Charles, LLC is 1881641405. It was assigned to this organization in the NPPES registry on May 28, 2006.

Q: What is Coastal Pain Care Lake Charles, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Active since May 28, 2006

215 W PRIEN LAKE RD, LAKE CHARLES, LA 70601(337) 477-9019(337) 478-1290 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coastal Pain Care Lake Charles, Llc NPPES

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

COASTAL PAIN CARE LAKE CHARLES, LLC (NPI 1881641405) is a healthcare organization registered as a pain medicine in Lake Charles, Louisiana and active in the NPI registry since May 2006. The organization lists Kristi Widcamp, Manager, as its authorized official.

NPPES Registry Identity

NPI1881641405

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameCOASTAL PAIN CARE LAKE CHARLES, LLC

Location Address215 W PRIEN LAKE RDLake Charles, LA 70601-8450

Mailing AddressPo Box 4840Lake Charles, LA 70606-4840 · (337) 477-9019 · Fax (337) 478-1290

Phone(337) 477-9019

Fax(337) 478-1290

Organization SubpartNo

Authorized OfficialKristi WidcampManager · (337) 477-9019

Enumeration DateMay 28, 2006

Last NPPES UpdateApril 25, 2013

✔ NPI 1881641405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in LA · 016824

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

215 W PRIEN LAKE RD, Lake Charles, LA 70601

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Other Identifiers 1

Medicare ID-Type Unspecified5CR23LA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

HILARY LEGGIO RD

Dietitian, Registered