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

Louisette Lise Soussan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811263569

Louisette Lise Soussan, MD is a Nephrology in Cooperstown, New York. Qualified in 2012, 14 years ago. Practices with Meeting House Lane Medical Practice PC, a 123-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Cooperstown, NY
Fax: (607) 547-3259

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 287524 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811263569
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2012
Last updated in NPPESOctober 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Meeting House Lane Medical Practice Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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