Our Lady Of The Lake Hospital Inc
Pediatric Gastroenterology
Our Lady Of The Lake Hospital Inc is a Baton Rouge, Louisiana based Pediatric center with medical specialization in
Pediatric Gastroenterology. Our Lady Of The Lake Hospital Inc is doing business as
Pediatric Specialty Clinic.
It is located at
5000 Hennessy Blvd, Baton Rouge, Louisiana - 70808-4375. They can be contacted on phone at
225-766-5204 and fax number 225-765-4062.
NPI number (Unique professional ID) for Our Lady Of The Lake Hospital Inc is
1952355125 which was assigned by NPPES on 20 May, 2006 and it was last updated on 11 May, 2011.
Our Lady Of The Lake Hospital Inc specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Our Lady Of The Lake Hospital Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Our Lady Of The Lake Hospital Inc |
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| Other Name : | Pediatric Specialty Clinic |
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Business Address:
Our Lady Of The Lake Hospital Inc 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 : | 5000 Hennessy Blvd
Baton Rouge, LA, 70808-4375
United States |
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| Phone Number : | 225-766-5204 |
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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 : | 1952355125 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 20 May, 2006 |
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| Last Updated On : | 11 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 Hospital Inc are as mentioned. Primary taxonomy code for Our Lady Of The Lake Hospital Inc is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207K00000X | Allergy & Immunology | No | | |
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | | |
| 207XP3100X | Orthopaedic Surgery Pediatric Orthopaedic Surgery | No | | |
| 2080P0210X | Pediatrics Pediatric Nephrology | No | | |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Our Lady Of The Lake Hospital Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 08775372 | MEDICAID | MS | |
| 1447129 | 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, Ste 105
Baton Rouge, LA, 70806-7851
United States |
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| Phone Number : | 225-765-4226 |
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| Fax Number : | 225-765-9244 |
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Business Location:
Patients can refer following map for directions to
Our Lady Of The Lake Hospital Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.