Llewellyn Simon in Lake Providence - Internal Medicine
Llewellyn Simon - NPI 1063494128
Llewellyn Simon is a Internal Medicine in Lake Providence, Louisiana. Llewellyn Simon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Llewellyn Simon is 1063494128. The last update date is 2019-10-16.
Llewellyn Simon's current location address is 320 N Hood St, Lake Providence, Louisiana. You can contact this provider via phone number 3185592404 and fax number 3185592430. The mailing address for Llewellyn Simon is 320 N Hood St, Lake Providence, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Llewellyn Simon |
|---|---|
| Address | 320 N Hood St, Lake Providence, Louisiana |
| Phone Number | 3185592404 |
| Fax Number | 3185592430 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063494128 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2019-10-16 |
Provider Mailing Address Detail
| Address | 320 N Hood St |
|---|---|
| City | Lake Providence |
| State | Louisiana (LA) |
| Post Code | 712542140 |
| Phone Number | 3185592404 |
| Fax Number | 3185592430 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 11828R |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11828R | LA | STATE LICENSE | |
| 1680893 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Llewellyn Simon by the Centers for Medicare & Medicaid Services (CMS)?
The Llewellyn Simon has been assigned the NPI (National Provider Identifier) 1063494128. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Llewellyn Simon?
The Llewellyn Simon is physically situated at 320 N Hood St, in the city of Lake Providence, state of LA, with the postal code 712542140.
What is Llewellyn Simon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Llewellyn Simon is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When did the Llewellyn Simon receive its 1063494128?
The Llewellyn Simon was issued its 1063494128 on 2005-11-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Llewellyn Simon most recently updated or revised?
The information pertaining to Llewellyn Simon, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-16.