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

Life Coast Community Health Center Inc

Organization Internal Medicine Physician · NPI 1073157970

Life Coast Community Health Center Inc is an Internal Medicine Physician in Thibodaux, Louisiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

504 N Acadia Rd
Thibodaux, LA 70301-4862
Phone: (985) 492-6170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1073157970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Webre — Clinic Manager · (985) 492-6170
NPI enumeratedNovember 4, 2019
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address504 N Acadia Rd, Thibodaux, LA 70301-4862

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