Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic
LBN: Our Lady Of The Lake Regional Medica
Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic is an health care organization with primary practice located at 7777 Hennessy Blvd Plaza 1 Suite 406, Baton Rouge LA 70810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as the primary health care specialty.
Our Lady Of The Lake Regional Medica can be contacted via phone (225) 765-3456, or through White, Tamara via phone (225) 765-4251.
Contact Information
Primary practice address
7777 Hennessy Blvd Plaza 1 Suite 406
Baton Rouge LA 70810
Phone: (225) 765-3456
Fax: (225) 765-1899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X |
Profile Details
| NPI number | 1972645216 |
|---|---|
| LBN Legal business name | Our Lady Of The Lake Regional Medica |
| DBA Doing business as | Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic |
| Authorized official | White, Tamara |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | May 19th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972645216 | NPPES |
| Louisiana | MEDICAID | 1445584 |
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