| Salt & Light Medical Clinic | |
|
222 Bell Ln Ste 3 West Monroe LA 71291-6303 | |
| (318) 310-5840 | |
| (318) 319-2024 |
| Full Name | Salt & Light Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 222 Bell Ln Ste 3, West Monroe, Louisiana |
| Authorized Official Name and Position | Lacey Duncan (OWNER) |
| Authorized Official Contact | 3183105840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt & Light Medical Clinic Po Box 2382 West Monroe LA 71294-2382 Ph: () - | Salt & Light Medical Clinic 222 Bell Ln Ste 3 West Monroe LA 71291-6303 Ph: (318) 310-5840 |
| NPI Number | 1134848583 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 4486023975 |
|---|---|
| Medicare Enrollment ID | O20221205002293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134848583 | NPI | - | NPPES |
| 2608801 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Katharin Luther Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215451653 PECOS PAC ID: 8921373135 Enrollment ID: I20171013000487 |
| Provider Name | Lacey B Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891290490 PECOS PAC ID: 7517221997 Enrollment ID: I20180511000643 |
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