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NPI Code Detail

MEDICARE: DR. JOHN LUCIEN LENFANT V DNP

MEDICARE: DR. JOHN LUCIEN LENFANT V DNP
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
1363LF0000XFamily Nurse PractitionerRN093709 AP04428LA

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 : 1669465647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN LUCIEN LENFANT V DNP
Provider Business Mailing Address
First Line : 1322 WOODMERE DR
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-7456
Country : US
Telephone Number : 504-202-0877
Fax Number : 504-281-1318
Provider Business Practice Location Address
First Line : 6225 S CLAIBORNE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-4105
Country : US
Telephone Number : 504-864-8080
Fax Number : 504-864-8020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 07/16/2015

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