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Melvin Lars

Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).

NPI number1669945986
StatusActive
Last updated in NPPESJan 17, 2019

Details

NPI
1669945986
Entity type
Individual (NPI-1)
Name
Melvin Lars
Sex
Male
Sole proprietor
No
Enumeration date
Jan 9, 2019
Last updated
Jan 17, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YS0200X Counselor, School––

Practice location

4111 Metro Dr Ste B
Shreveport, LA 71109-6001

Phone 318-636-0391 · Fax 318-635-3298

Mailing address

4111 Metro Dr Ste B
Shreveport, LA 71109-6001

Phone 318-636-0391 · Fax 318-635-3298

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Shreveport, LA

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