| Nicole Elizabeth Laiche, NP | |
|
135a Highway 402, Napoleonville, LA 70390-2217 | |
| (985) 369-1083 | |
| (985) 369-1085 |
| Full Name | Nicole Elizabeth Laiche |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 135a Highway 402, Napoleonville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942589692 | NPI | - | NPPES |
| 2166000 | Medicaid | LA | |
| 02573521 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP06579 (Louisiana) | Primary |
| 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 |
|---|---|
| Nicole Elizabeth Laiche, NP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (985) 369-1083 | Nicole Elizabeth Laiche, NP 135a Highway 402, Napoleonville, LA 70390-2217 Ph: (985) 369-1083 |
Mrs. Tara Mcclanahan Martinez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 141 Highway 402, Napoleonville, LA 70390 Phone: 985-369-6027 Fax: 985-369-7656 | |
Miss Wanda N. Jefferson Wilson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Highway 1008, Napoleonville, LA 70390 Phone: 985-369-1880 Fax: 985-369-9191 | |
Mrs. April Larvadain Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135a Highway 402, Napoleonville, LA 70390 Phone: 985-369-1083 Fax: 985-369-1085 | |
Mrs. Sharee D Besson, APRN-N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Highway 402, Suite 4, Napoleonville, LA 70390 Phone: 985-369-3600 Fax: 985-369-1085 |