=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497375786
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDSEY MICHAEL LADD DO
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2020
-----------------------------------------------------
Last Update Date | 08/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 64301 HIGHWAY 434
-----------------------------------------------------
City | LACOMBE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70445-5411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-882-4500
-----------------------------------------------------
Fax | 985-882-4501
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 64301 HIGHWAY 434
-----------------------------------------------------
City | LACOMBE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70445-5411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-882-4500
-----------------------------------------------------
Fax | 985-882-4501
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number | 346132
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------