Organization
NORTHLAKE NEPHROLOGY INC
Active
Other names
Northlake Nephrology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C SIMON MD (MD / OWNER)
(985) 867-8585
Entity
Organization
Contact information
Practice address
1970 N HWY 190, COVINGTON, LA 70433
(985) 400-5988
(985) 256-5687
Mailing address
PO BOX 3370, COVINGTON, LA 70434-3370
(985) 867-8585
(985) 867-3644
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442577
—
LA
Enumeration date
06/22/2005
Last updated
09/29/2025
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