Our Lady Of The Lake Regional Medica
Pediatric Pulmonology
Our Lady Of The Lake Regional Medica is a Baton Rouge, Louisiana based Pediatric center with medical specialization in
Pediatric Pulmonology. Our Lady Of The Lake Regional Medica is doing business as
Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic.
It is located at
7777 Hennessy Blvd, Plaza 1 Suite 406, Baton Rouge, Louisiana - 70810. They can be contacted on phone at
225-765-3456 and fax number 225-765-1899.
NPI number (Unique professional ID) for Our Lady Of The Lake Regional Medica is
1972645216 which was assigned by NPPES on 13 Feb, 2007 and it was last updated on 19 May, 2011.
Our Lady Of The Lake Regional Medica is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Our Lady Of The Lake Regional Medica basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Our Lady Of The Lake Regional Medica |
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| Other Name : | Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic |
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Business Address:
Our Lady Of The Lake Regional Medica address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7777 Hennessy Blvd, Plaza 1 Suite 406
Baton Rouge, LA, 70810
United States |
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| Phone Number : | 225-765-3456 |
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| Fax Number : | 225-765-1899 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972645216 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Feb, 2007 |
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| Last Updated On : | 19 May, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Tamara White |
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| Official Title or Position : | DIRECTOR OF BUSINESS SERVICES |
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| Phone Number : | 225-765-4251 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Our Lady Of The Lake Regional Medica are as mentioned. Primary taxonomy code for Our Lady Of The Lake Regional Medica is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Our Lady Of The Lake Regional Medica such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1445584 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8415 Goodwood Blvd, Suite 105
Baton Rouge, LA, 70806
United States |
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| Phone Number : | 225-413-4361 |
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| Fax Number : | 225-765-4062 |
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Business Location:
Patients can refer following map for directions to
Our Lady Of The Lake Regional Medica practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.