Provider Demographics
NPI:1861059529
Name:LEMELLE, ALANA JARLE (BS)
Entity type:Individual
Prefix:MISS
First Name:ALANA
Middle Name:JARLE
Last Name:LEMELLE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 5TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-2155
Mailing Address - Country:US
Mailing Address - Phone:337-302-7365
Mailing Address - Fax:337-214-2077
Practice Address - Street 1:3501 5TH AVE STE A
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-2155
Practice Address - Country:US
Practice Address - Phone:337-302-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator