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Bogalusa Family Practice

NPI 1104084839ActiveOrganization· General Practice· Bogalusa, LA

General Practice in Bogalusa, Louisiana, registered in NPPES in May 2008. The authorized official on file is Melvin Lester, Billing Clerk.

Overview

NPI1104084839
StatusActive
Entity typeOrganization
NPI issuedMay 29, 2008
Last updated in NPPESMay 29, 2008

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000XMD107924LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Bogalusa

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