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

Mr. Garrett Lane Vick

Individual provider Dermatology Physician · NPI 1154708105

Mr. Garrett Lane Vick is a Dermatology in Houma, Louisiana. Qualified in 2015, 11 years ago. Practices with Life Coast Community Health Center Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
11
Licensed in
LA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

605 Enterprise Dr Ste C
Houma, LA 70360-5405
Phone: (985) 360-3755
Fax: (985) 879-4580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 302659 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154708105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Life Coast Community Health Center Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Houma