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.
Organization
EXECUTIVE MEDICAL CLINIC OF LAKE CHARLES
Active
Organization
EXECUTIVE MEDICAL CLINIC OF LAKE CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LEBRUN DNP (PRESIDENT)
(225) 939-0050
Entity
Organization
Contact information
Practice address
765 EAST BAYOU PINES DRIVE, LAKE CHARLES, LA 70601-5690
(337) 210-1260
Mailing address
765 EAST BAYOU PINES DRIVE, LAKE CHARLES, LA 70601-5690
(337) 210-1260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP06496
LA
Other
Enumeration date
07/14/2017
Last updated
09/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers