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NPI Code Detail

MEDICARE: LEMLO MEDICAL CORPORATION, APMC

MEDICARE: LEMLO MEDICAL CORPORATION, APMC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician12209RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043374291
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEMLO MEDICAL CORPORATION, APMC
Provider Business Mailing Address
First Line : PO BOX 915
Second Line :
City : MINDEN
State : LA
Zip : 71058-0915
Country : US
Telephone Number : 318-382-1976
Fax Number : 318-377-9869
Provider Business Practice Location Address
First Line : 128 HOMER RD
Second Line :
City : MINDEN
State : LA
Zip : 71055-2732
Country : US
Telephone Number : 318-382-1976
Fax Number : 318-377-9869
Authorized Official
Title or Position : OWNER
Name : DR. ELIZABETH R ANDERSON-DOZE
Credential : MD
Telephone Number : 318-382-1976
Provider Enumeration Date : 12/21/2006
Last Update Date : 08/22/2020

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Directions to “LEMLO MEDICAL CORPORATION, APMC ” Practice Location

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