{"npi":"1497313670","type":"NPI-2","status":"active","name":{"display":"Lake Professionals LLC","other":[],"organization_name":"LAKE PROFESSIONALS LLC","authorised_official":"Douglass Perret"},"specialty":{"primary_taxonomy":"208D00000X","primary_taxonomy_description":"General Practice","slug":"general-practice","schema_org_specialty":"PrimaryCare","all":[{"code":"208D00000X","description":"General Practice","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"501 W SAINT MARY BLVD STE 210","city":"LAFAYETTE","state":"LA","postal_code":"705064699","country_code":"US","phone":"3372331114"},{"purpose":"MAILING","street_1":"PO BOX 53388","city":"LAFAYETTE","state":"LA","postal_code":"705053388","country_code":"US","phone":"3372331114"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230518000653","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"LA","pac_id":"8224494166"}]},"enumeration_date":"2019-06-03","last_updated":"2023-04-25","_meta":{"source":"NPPES","snapshot_date":"2023-04-25","doc_url":"https://findmynpi.com/api"}}