Provider Demographics
NPI:1710310545
Name:LBS UNLIMITED
Entity Type:Organization
Organization Name:LBS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUPLANTIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:228-467-8300
Mailing Address - Street 1:1009 BENIGNO LN
Mailing Address - Street 2:
Mailing Address - City:BAY ST LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520-1602
Mailing Address - Country:US
Mailing Address - Phone:228-467-8300
Mailing Address - Fax:228-467-5480
Practice Address - Street 1:1009 BENIGNO LN
Practice Address - Street 2:
Practice Address - City:BAY ST LOUIS
Practice Address - State:MS
Practice Address - Zip Code:39520-1602
Practice Address - Country:US
Practice Address - Phone:228-467-8300
Practice Address - Fax:228-467-5480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS17207261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center