Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lakeside Medical Wellness Clinic

Organization Clinic/Center · NPI 1407147234

Lakeside Medical Wellness Clinic provides Clinic/Center services in Sulphur, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.

Licensed in
LA
In the registry since
2011

Practice location Address checks out

1908 Maplewood Dr Ste B
Sulphur, LA 70663-6000 Not confirmed with CMS for 15 years — call before visiting
Phone: (337) 625-5050
Fax: (337) 625-6726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence MD14484R (LA)

Record details

NPI number1407147234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Kirkum — Administrator · (337) 625-5050
NPI enumeratedApril 27, 2011
Last updated in NPPESApril 27, 2011
Mailing address1908 Maplewood Dr, Suite B, Sulphur, LA 70663-6000

Other providers in Sulphur