Northlake Nephrology INC
Internal Medicine, Nephrology in Covington, LA. Organization (NPI-2).
NPI number1366448458
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1366448458
- Entity type
- Organization (NPI-2)
- Legal business name
- Northlake Nephrology INC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2005
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Other names
- Northlake Nephrology Institute (Doing Business As)
Practice location
1970 N Hwy 190Covington, LA 70433
Phone 985-400-5988 · Fax 985-256-5687
Mailing address
Po Box 3370Covington, LA 70434-3370
Phone 985-867-8585 · Fax 985-867-3644
Authorized official
John C Simon
MD / Owner
9858678585
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