| Access Serenity | |
|
4815 Ihles Rd Lake Charles LA 70605-5900 | |
| (337) 802-1336 | |
| Not Available |
| Full Name | Access Serenity |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4815 Ihles Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Timothy Jason Reed (CEO) |
| Authorized Official Contact | 3378021336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Serenity 4815 Ihles Rd Lake Charles LA 70605-5900 Ph: (337) 802-1336 | Access Serenity 4815 Ihles Rd Lake Charles LA 70605-5900 Ph: (337) 802-1336 |
| NPI Number | 1801349238 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 10/19/2016 |
| Medicare PECOS PAC ID | 2860780111 |
|---|---|
| Medicare Enrollment ID | O20161020001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801349238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lucius M Lampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689781007 PECOS PAC ID: 0547221798 Enrollment ID: I20041021000705 |
| Provider Name | Mohammad K. Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477723914 PECOS PAC ID: 0042349334 Enrollment ID: I20110725000378 |
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