| Lala Daniel George, | |
|
128 Ridgedale Dr, West Monroe, LA 71291-2017 | |
| (318) 508-1728 | |
| Not Available |
| Full Name | Lala Daniel George |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 128 Ridgedale Dr, West Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104504737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 865061 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1113512 (Texas) | Primary |
| Entity Name | Health and Human Services Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
| Entity Name | Access Serenity of Louisiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104378629 PECOS PAC ID: 4385985803 Enrollment ID: O20200709000574 |
| Entity Name | Kotel Atx |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568055192 PECOS PAC ID: 9537578810 Enrollment ID: O20210518000994 |
| Mailing Address | Practice Location Address |
|---|---|
| Lala Daniel George, 128 Ridgedale Dr, West Monroe, LA 71291-2017 Ph: Not Available | Lala Daniel George, 128 Ridgedale Dr, West Monroe, LA 71291-2017 Ph: (318) 508-1728 |
Ms. Kitty Kervin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Regency Pl, West Monroe, LA 71291 Phone: 318-812-9999 Fax: 318-323-9339 |
Adrienne Holmes, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1609 N 7th St, West Monroe, LA 71291 Phone: 318-387-8099 |
Tammy Ditta, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3424 Cypress St, West Monroe, LA 71291 Phone: 318-450-4626 |
Natalie Demoss, APRN-CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4624 Cypress St Ste 7, West Monroe, LA 71291 Phone: 318-512-4112 Fax: 318-570-5903 |
Mary Katherine Cantrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Thomas Rd Ste 203, West Monroe, LA 71291 Phone: 318-255-3690 |
Mrs. Jennifer Elliott Creel, ACNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Thomas Rd, Suite 104, West Monroe, LA 71291 Phone: 318-329-8485 |
Ms. Cherry M. Patton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2601 North 7th, Suite 100, West Monroe, LA 71291 Phone: 318-582-5208 Fax: 318-582-5216 |