Provider Demographics
NPI:1942507223
Name:LENFANT ENTERPRISES LLC
Entity Type:Organization
Organization Name:LENFANT ENTERPRISES LLC
Other - Org Name:TANGIPAHOA FAMILY AND OCCUPATIONAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER /MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LUCIEN ALEXANDER
Authorized Official - Last Name:LENFANT
Authorized Official - Suffix:V
Authorized Official - Credentials:FNP
Authorized Official - Phone:985-624-3449
Mailing Address - Street 1:1322 WOODMERE DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-7456
Mailing Address - Country:US
Mailing Address - Phone:985-624-3449
Mailing Address - Fax:
Practice Address - Street 1:44354 HIGHWAY 445
Practice Address - Street 2:
Practice Address - City:ROBERT
Practice Address - State:LA
Practice Address - Zip Code:70455-1999
Practice Address - Country:US
Practice Address - Phone:504-202-0877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP 04428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty