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Contact Information

OUR LADY OF THE LAKE REGIONAL MEDICA
7777 HENNESSY BLVD
PLAZA 1 SUITE 406
BATON ROUGE, LA70810
 Phone: 225-765-3456
 Fax: 225-765-1899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for OUR LADY OF THE LAKE REGIONAL MEDICA · (Female)

NPI # 1972645216
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2007
Last updated 05/19/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1445584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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