| Dr Laura Lynne Drake, MD | |
|
9775 Highway 190, Suite F, Walker, LA 70785 | |
| (225) 243-7716 | |
| Not Available |
| Full Name | Dr Laura Lynne Drake |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9775 Highway 190, Walker, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174783344 | NPI | - | NPPES |
| 03774502 | Medicaid | MS | |
| 1102768 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD.203842 (Louisiana) | Primary |
| Entity Name | Strawberry Patch Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346895638 PECOS PAC ID: 5294160859 Enrollment ID: O20200124001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura Lynne Drake, MD 9775 Highway 190, Suite F, Walker, LA 70785 Ph: (225) 243-7716 | Dr Laura Lynne Drake, MD 9775 Highway 190, Suite F, Walker, LA 70785 Ph: (225) 243-7716 |
Jonell Hamilton Bolton, Pediatrics Medicare: Medicare Enrolled Practice Location: 5000 O'donovan Blvd, Suite 404, Walker, LA 70785 Phone: 225-271-6550 Fax: 225-271-6551 | |
Tracy Alana Lemelle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5000 Odonavan Blvd, Walker, LA 70785 Phone: 225-369-8117 | |
Mrs. Leah Irene Houser, DENTAL ASSISTANT Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14791 Springfield Rd., Walker, LA 70785 Phone: 541-736-6099 |