OrganizationActive
Pediatrust Lake Charles, LLC
NPI 1518359165 · Exclusive Provider Organization · Lake Charles, LA
Provider details
- NPI number
- 1518359165
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Leann Craig, Owner(225) 252-7633
- License
- 2203782281 (LA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4250 5th Ave
Lake Charles, LA 70607-3900
Phone: (337) 562-7818
Street-level locationGet directions
Mailing address
6270 Sevenoaks Ave
Baton Rouge, LA 70806-7330
Registry dates
- Enumerated
- 2015-02-19
- Last updated
- 2015-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.