| Mrs Lori Eubanks, FNP | |
|
130 Jefferson Street, Mansfield, LA 71052 | |
| (318) 872-2700 | |
| (318) 872-6214 |
| Full Name | Mrs Lori Eubanks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 130 Jefferson Street, Mansfield, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982717716 | NPI | - | NPPES |
| 1179892 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RN086440AP04340 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Louisiana Homecare | Mansfield, LA | Home health agency |
| Desoto Regional Health System | Mansfield, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Desoto Hospital Association | 2163321829 | 31 |
| Entity Name | Desoto Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467455154 PECOS PAC ID: 2163321829 Enrollment ID: O20040102000229 |
| Entity Name | Desoto Regional Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043359839 PECOS PAC ID: 7719970599 Enrollment ID: O20040412001175 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lori Eubanks, FNP 207 Jefferson St, Mansfield, LA 71052-2603 Ph: (318) 872-2700 | Mrs Lori Eubanks, FNP 130 Jefferson Street, Mansfield, LA 71052 Ph: (318) 872-2700 |
Mr. Jeffrey L Evans, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Jefferson Street, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 | |
Mr. Benjamin Leggio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Jefferson Street, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 |