Executive Medical Clinic of Lake Charles
NPI 1982126520ActiveOrganization· Family Medicine· Lake Charles, LA
Family Medicine in Lake Charles, Louisiana, registered in NPPES in July 2017. The authorized official on file is Melissa Lebrun, DNP, President.
Overview
| NPI | 1982126520 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2017 |
| Last updated in NPPES | Sep 19, 2022 |
| Certified by provider | Sep 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | AP06496 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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