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Lake Professionals LLC

Lake Professionals LLC is a healthcare organization registered as General Practice Physician in Lafayette, LA, holding Type 2 (organization) NPI 1497313670 since 2019. The authorized official on file is Douglass Perret, Ceo.

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NPI 1497313670
Entity type Organization (Type 2)
Legal business name Lake Professionals LLC
Practice address 501 W SAINT MARY BLVD STE 210, Lafayette, LA, 70506
Phone 3372331114
Enumeration date 2019-06-03
Last updated in NPPES 2023-04-25

Authorized official

Name Douglass Perret
Title Ceo
Phone 3372331114

Taxonomy & classification

Taxonomy code Specialty Primary License State
208D00000X General Practice Physician Primary
Copy-ready billing details
Provider: Lake Professionals LLC
NPI: 1497313670
Taxonomy: 208D00000X (General Practice Physician)
Address: 501 W SAINT MARY BLVD STE 210, Lafayette, LA, 70506

Providers at this address

NPI Name Type Specialty Location
1356900013 Mary Trahan Individual Addiction (Substance Use Disorder) Counselor Lafayette, LA
1164081832 Merril Thibodeaux Individual Professional Counselor Lafayette, LA

Verify this record

Cross-check NPI 1497313670 against the authoritative CMS record: view Lake Professionals LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Professionals LLC?
Lake Professionals LLC is registered in NPPES as a General Practice Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-04-25.