Our Lady Of The Lake Regional Medical Center
Pediatric Pulmonology
Our Lady Of The Lake Regional Medical Center is a Baton Rouge, Louisiana based Pediatric center with medical specialization in
Pediatric Pulmonology. Our Lady Of The Lake Regional Medical Center is doing business as
Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic Sleep Lab.
It is located at
8415 Goodwood Blvd, Suite 105, Baton Rouge, Louisiana - 70806-7851. They can be contacted on phone at
225-765-4361 and fax number 225-765-4062.
NPI number (Unique professional ID) for Our Lady Of The Lake Regional Medical Center is
1235263724 which was assigned by NPPES on 15 Mar, 2007 and it was last updated on 22 Aug, 2020.
Our Lady Of The Lake Regional Medical Center 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 Medical Center 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 Medical Center |
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| Other Name : | Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic Sleep Lab |
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Business Address:
Our Lady Of The Lake Regional Medical Center 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 : | 8415 Goodwood Blvd, Suite 105
Baton Rouge, LA, 70806-7851
United States |
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| Phone Number : | 225-765-4361 |
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| Fax Number : | 225-765-4062 |
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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 : | 1235263724 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Mar, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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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 : | Davide Thomas |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PHYSICIAN |
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| Phone Number : | 225-765-3456 |
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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 Medical Center are as mentioned. Primary taxonomy code for Our Lady Of The Lake Regional Medical Center 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 Medical Center 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 : | 7777 Hennessy Blvd, Plaze 1 Ste 406
Baton Rouge, LA, 70808-4300
United States |
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| Phone Number : | 225-765-3456 |
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| Fax Number : | 225-765-1899 |
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Business Location:
Patients can refer following map for directions to
Our Lady Of The Lake Regional Medical Center practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.