Organization
PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION
Active
Other names
LyondellBasell - Lake Charles Polymers Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
4101 HWY 108 SOUTH EAST GATE, WESTLAKE, LA 70669-8017
(337) 439-7324
(337) 439-7345
Mailing address
16906 COLLECTION CENTER DR, CHICAGO, IL 60693-0169
(877) 865-9013
(337) 439-7345
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
08/15/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up