Individual provider · NPI-1

Dr. Jake Thomas Lebeau, MD

Internal Medicine, Interventional Cardiology · Lake Charles, LA

NPI number1174659668
StatusActive
Last updated in NPPESMay 5, 2025

Details

NPI
1174659668
Entity type
Individual (NPI-1)
Name
Dr. Jake Thomas Lebeau
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 26, 2007
Certification date
May 5, 2025
Last updated
May 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0011X Internal Medicine, Interventional CardiologyMD.206026LAYes
207RC0000X Internal Medicine, Cardiovascular DiseaseMD.206026LA
208M00000X Hospitalist2008026265MO

Practice location

501 Michael Debakey Drive
Lake Charles, LA 70601-5724

Phone 337-312-8246 · Fax 337-497-1173

Mailing address

501 Michael Debakey Drive
Lake Charles, LA 70601-5724

Phone 337-312-8360 · Fax 337-312-6708

Other practice locations

703 Cypress St Ste A
Sulphur, LA 70663-5053

Phone 337-310-0395 · Fax 337-313-5389

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