| Lhc Group Health Clinic, Llc | |
|
901 Hugh Wallis Rd S Rm 115 Lafayette LA 70508-2511 | |
| (337) 233-1307 | |
| Not Available |
| Full Name | Lhc Group Health Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 901 Hugh Wallis Rd S Rm 115, Lafayette, Louisiana |
| Authorized Official Name and Position | Joshua L. Proffitt (PRESIDENT) |
| Authorized Official Contact | 3372331307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lhc Group Health Clinic, Llc Po Box 51266 Lafayette LA 70505-1266 Ph: (337) 233-1307 | Lhc Group Health Clinic, Llc 901 Hugh Wallis Rd S Rm 115 Lafayette LA 70508-2511 Ph: (337) 233-1307 |
| NPI Number | 1083293096 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 5991109969 |
|---|---|
| Medicare Enrollment ID | O20210812002987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083293096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kyle G Lavergne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982886511 PECOS PAC ID: 1658449194 Enrollment ID: I20081010000060 |
| Provider Name | Robin E Beacom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649697558 PECOS PAC ID: 0143443465 Enrollment ID: I20140514000253 |
| Provider Name | Elliot J Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528481587 PECOS PAC ID: 8527281237 Enrollment ID: I20140528000951 |
| Provider Name | Aimee Guilbeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205403102 PECOS PAC ID: 6608279138 Enrollment ID: I20210721003635 |
| Provider Name | Alexis Taquino Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346998507 PECOS PAC ID: 3779970264 Enrollment ID: I20220502001942 |
| Provider Name | Breanne Roesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669108080 PECOS PAC ID: 9638546625 Enrollment ID: I20221103002474 |
| Provider Name | Shelly Marie Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801510235 PECOS PAC ID: 3476927070 Enrollment ID: I20230322001707 |
| Provider Name | Chanda Danielle Babineaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831960475 PECOS PAC ID: 7214371632 Enrollment ID: I20240213004908 |
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