Healthcare Provider Details

I. General information

NPI: 1861304461
Provider Name (Legal Business Name): LAMEIKA CHATMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 SPRING STREET
LOGANSPORT LA
71049
US

IV. Provider business mailing address

114 SPRING STREET
LOGANSPORT LA
71049
US

V. Phone/Fax

Practice location:
  • Phone: 318-754-1669
  • Fax:
Mailing address:
  • Phone: 318-754-1669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number008456541
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: