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Contact Information

ROBYN L BOEDEFELD, MD
7777 HENNESSY BLVD
SUITE 701
BATON ROUGE, LA70808-4300
 Phone: 225-765-5864
 Fax: 225-765-2013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBYN L BOEDEFELD · (Female)

NPI Number 1467407577
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 01/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 23808
  • LA License # MD.202182
  • VA License # 0101239729
  • AL Medicaid 009991735
  • LA Medicaid 1167584
  • VA Medicaid 010293171
  • AL Other 051528036 BLUE CROSS
  • AL Other P00267754 RAILROAD MEDICARE
Hospital affiliation(s)
  • OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    5000 HENNESSY BLVD
    BATON ROUGE, LA 70808
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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