Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Extraordinary Healthcare, LLC

Organization Family Nurse Practitioner · NPI 1033048160

Extraordinary Healthcare, LLC is a Family Nurse Practitioner in Lake Charles, Louisiana. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Ryan St Ste 400
Lake Charles, LA 70601-9405
Phone: (337) 377-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1033048160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dr Latasha Grice — Owner · (337) 377-8277
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address1130 Caesars Ct, Lake Charles, LA 70611-6739

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