Mary Lyn Dore, APRN | |
108 6th Ave Bldg B, Kinder, LA 70648-3187 | |
(337) 738-9494 | |
Not Available |
Full Name | Mary Lyn Dore |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 108 6th Ave Bldg B, Kinder, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689438764 | NPI | - | NPPES |
2653091 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 234472 (Louisiana) | Primary |
Entity Name | Allen Parish Hospital District No 3 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982601944 PECOS PAC ID: 3274431341 Enrollment ID: O20031229000092 |
Entity Name | Calcasieu Cameron Emergency Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039 |
Mailing Address | Practice Location Address |
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Mary Lyn Dore, APRN 2853 Christy Dr, Lake Charles, LA 70611-3658 Ph: (337) 540-4963 | Mary Lyn Dore, APRN 108 6th Ave Bldg B, Kinder, LA 70648-3187 Ph: (337) 738-9494 |
Matthew Lovejoy, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 6th Ave, Kinder, LA 70648 Phone: 337-738-9494 | |
Morgan Harmon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 6th Ave, Kinder, LA 70648 Phone: 337-738-2527 | |
Allissa Kay Joseph, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 6th Ave Bldg B, Kinder, LA 70648 Phone: 337-738-9494 Fax: 337-738-9449 | |
Mrs. Theresa Marie Savant, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 6th Ave, Kinder, LA 70648 Phone: 337-738-9494 | |
Michael Patrick England, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 6th Ave, Kinder, LA 70648 Phone: 337-738-9494 Fax: 337-738-9449 | |
Savannah V Frith, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 6th Ave, Kinder, LA 70648 Phone: 337-738-9494 |