| Dr Lisa Khanh Le, MD | |
|
17609 Old Jefferson Hwy, Prairieville, LA 70769-3979 | |
| (225) 647-8511 | |
| (225) 744-2992 |
| Full Name | Dr Lisa Khanh Le |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 17609 Old Jefferson Hwy, Prairieville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770581381 | NPI | - | NPPES |
| 1491721 | Medicaid | LA | |
| 00A709980 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A70998 (California) | Secondary |
| 208000000X | Pediatrics | 022667 (Louisiana) | Primary |
| Entity Name | Our Lady Of Lake Ascension, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Khanh Le, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0011 | Dr Lisa Khanh Le, MD 17609 Old Jefferson Hwy, Prairieville, LA 70769-3979 Ph: (225) 647-8511 |
Dr. Kendra Lashawn Michael, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16260 Airline Highway, Prairieville, LA 70769 Phone: 225-761-5211 | |
Meghan Vial Louque, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 17038 Commerce Centre Dr, Prairieville, LA 70769 Phone: 225-744-4484 Fax: 225-677-9359 | |
Lakisha Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14225 Highway 73, Prairieville, LA 70769 Phone: 225-673-3033 Fax: 225-644-5213 | |
John Knapp, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14225 Highway 73, Prairieville, LA 70769 Phone: 225-765-5500 Fax: 225-673-3132 | |
Andrea Mcdonald Ocmond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17038 Commerce Centre Dr, Prairieville, LA 70769 Phone: 225-744-4484 Fax: 225-677-9359 |