{"npi":"1801994074","type":"NPI-2","status":"active","name":{"display":"Letourneau Lifelike Orthotics & Prosthetics Of Louisiana, Inc.","other":[],"organization_name":"LETOURNEAU LIFELIKE ORTHOTICS & PROSTHETICS OF LOUISIANA, INC.","authorised_official":"Richard Gingras"},"specialty":{"primary_taxonomy":"335E00000X","primary_taxonomy_description":"Prosthetic/Orthotic Supplier","slug":"prosthetic-orthotic-supplier","schema_org_specialty":null,"all":[{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3113 LAKE ST","city":"LAKE CHARLES","state":"LA","postal_code":"706018337","country_code":"US","phone":"3374779102","fax":"3374779104"},{"purpose":"MAILING","street_1":"PO BOX 24128","city":"WINSTON SALEM","state":"NC","postal_code":"271144128","country_code":"US","phone":"3363972165","fax":"3363972167"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1651681","state":"LA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-20","last_updated":"2014-05-06","_meta":{"source":"NPPES","snapshot_date":"2014-05-06","doc_url":"https://findmynpi.com/api"}}