Organization
LAKE CRESCENT HEALTH LLC
Active
Other names
Lake Crescent Health Consulting, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA MACK LONG FNP-BC (OWNER)
(225) 831-6111
Entity
Organization
Contact information
Practice address
301 NORTH MAIN STREET, SUITE 2200, BATON ROUGE, LA 70801
(504) 319-6078
(225) 644-6013
Mailing address
PO BOX 82, SORRENTO, LA 70778-0082
(225) 831-6111
(225) 644-6013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
12/03/2025
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