Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Executive Medical Clinic of Lake Charles

Family Medicine Physician in Lake Charles, LA · enumerated 2017 · authorized official Melissa Lebrun, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982126520

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Registry record

Entity type Organization (Type 2)

Legal business name Executive Medical Clinic of Lake Charles

Practice address 765 East Bayou Pines Drive, Lake Charles, LA, 70601

Phone (337) 210-1260

Enumeration date Jul 14, 2017

Last updated in NPPES Sep 19, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License AP06496 (LA) Primary

Authorized official

Name Melissa Lebrun

Title President

Phone (225) 939-0050

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 → Validate an NPI →

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 Executive Medical Clinic of Lake Charles?

Executive Medical Clinic of Lake Charles is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-19.