Northlake Medicine And Wellness Center, Llc in Covington - Primary Care
Northlake Medicine And Wellness Center, Llc - NPI 1073693958
Northlake Medicine And Wellness Center, Llc is a Primary Care in Covington, Louisiana. Northlake Medicine And Wellness Center, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Northlake Medicine And Wellness Center, Llc is 1073693958. The last update date is 2010-08-16.
Northlake Medicine And Wellness Center, Llc's current location address is 1980 N Highway 190, Covington, Louisiana. You can contact this provider via phone number 9858096195 and fax number 9858096199. The mailing address for Northlake Medicine And Wellness Center, Llc is 1980 N Highway 190, Covington, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northlake Medicine And Wellness Center, Llc |
|---|---|
| Address | 1980 N Highway 190, Covington, Louisiana |
| Phone Number | 9858096195 |
| Fax Number | 9858096199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Levi Ann Tania |
| Credentials | M.D. |
| Telephone Number | 9858096195 |
NPI Number Detail
| NPI Number | 1073693958 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2010-08-16 |
Provider Mailing Address Detail
| Address | 1980 N Highway 190 |
|---|---|
| City | Covington |
| State | Louisiana (LA) |
| Post Code | 704335158 |
| Phone Number | 9858096195 |
| Fax Number | 9858096199 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 18251 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1378054 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Northlake Medicine And Wellness Center, Llc by the Centers for Medicare & Medicaid Services?
The Northlake Medicine And Wellness Center, Llc has been assigned the NPI (National Provider Identifier) 1073693958 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Northlake Medicine And Wellness Center, Llc is physically located?
The Northlake Medicine And Wellness Center, Llc is physically situated at the following address: 1980 N Highway 190, Covington, LA, 704335158.
What is the area of specialization for Northlake Medicine And Wellness Center, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northlake Medicine And Wellness Center, Llc is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
When was the Northlake Medicine And Wellness Center, Llc's 1073693958 issued?
The Northlake Medicine And Wellness Center, Llc's 1073693958 was issued on 2006-10-16.
When was the information related to Northlake Medicine And Wellness Center, Llc most recently updated or refreshed?
The details pertaining to the Northlake Medicine And Wellness Center, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-16.