# DEER CREEK MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902835150
- **Authorized official:** LISA THOMPSON CMPM (BUSINESS MANAGER)
- **Authorized official phone:** (337) 238-0167

## Contact information

- **Practice address:** 301 W FERTITTA BLVD STE 1, LEESVILLE, LA 71446-4665
- **Practice address phone:** (337) 238-0167
- **Practice address fax:** (337) 238-0574
- **Mailing address:** 301 W FERTITTA BLVD STE 1, LEESVILLE, LA 71446-4665
- **Mailing address phone:** (337) 238-0167
- **Mailing address fax:** (337) 238-0574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 05/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1949477 | — | LA |