1750181186 NPI number — LUGENYA M DOKES

Table of content: LUGENYA M DOKES (NPI 1750181186)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750181186 NPI number — LUGENYA M DOKES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOKES
Provider First Name:
LUGENYA
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750181186
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1905 W. THOMAS STREET, SUITE D
Provider Second Line Business Mailing Address:
BOX 235
Provider Business Mailing Address City Name:
HAMMOND
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-266-1745
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
235 CIVIC CENTER BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUMA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70360-5937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-266-1745
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  204651 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com