MR. LEON WARE PREJEAN (NPI# 1376567602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376567602 |
| Entity Type | Individual |
| Full Name | MR. LEON WARE PREJEAN |
| Credential | RNFA |
| Practice Address |
1717 Oak Park Blvd 3rd Floor Lake Charles LA 70601-8991 |
| Mailing Address |
1818 S Bend Rd Lake Charles LA 70605-0573 |
| Practice Telephone | 3374944916 |
| Mailing Telephone | 3374743315 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
RN033741 | LA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE LICENSE # | RN033741 | 01 |
| Street Address |
1717 OAK PARK BLVD 3RD FLOOR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910801 | William R Condos Jr. | Internal Medicine | 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601-8990 | 2005-05-24 |
| 1467821629 | Courtney Clark | Nurse Practitioner | 1717 Oak Park Blvd, Lake Charles, LA 70601-8991 | 2015-09-17 |
| 1568845899 | Kathy Parker Woodward | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2015-07-06 |
| 1356730303 | Rikki Monticello | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2015-01-14 |
| 1831507961 | Rebecca Kindler | Optometrist | 1717 Oak Park Blvd, Ste 1, Lake Charles, LA 70601-8991 | 2014-08-01 |
| 1588007249 | Martin Daniel Castillo | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Fl, Lake Charles, LA 70601-8991 | 2013-04-12 |
| 1043553522 | Amanda Joiner Saltzman | Pharmacist | 1717 Oak Park Blvd, Suite 110, Lake Charles, LA 70601-8991 | 2013-04-03 |
| 1932450210 | Keysha Raye Nabours | Nurse Practitioner | 1717 Oak Park Blvd, 2nd Fl, Lake Charles, LA 70601-8991 | 2012-09-26 |
| 1063778504 | Margaret Young Carter | Ophthalmology | 1717 Oak Park Blvd, #1, Lake Charles, LA 70601-8991 | 2012-04-10 |
| 1598052052 | Ted Etell Fontenot | Nurse Practitioner | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2011-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477831196 | Corey J Mccann | Registered Nurse | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2011-07-29 |
| 1861783417 | Senia Timothy Fontenot | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2011-04-29 |
| 1922018167 | Timothy Eric Vanwinkle | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2006-08-09 |
| 1578587804 | John Wayne Kuehn | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652928 | Charla Johnson | Registered Nurse | 9346 S Hodgeson Rd, Gonzales, LA 70737-8429 | 2020-05-29 |
| 1265716435 | Anthony Robert Mancuso Jr. | Registered Nurse | 4682 Drusilla Dr, Baton Rouge, LA 70809-6947 | 2011-10-05 |
| 1215576590 | Ethan Anthony Reulet | Registered Nurse | 601 River Highlands Blvd Ste 200, Covington, LA 70433-8913 | 2020-01-03 |
| 1710362686 | Amanda Jean Duncan | Registered Nurse | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2015-07-21 |
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on MR. LEON WARE PREJEAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.