Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic Sleep Lab
LBN: Our Lady Of The Lake Regional Medical Center
Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic Sleep Lab is an health care organization with primary practice located at 8415 Goodwood Blvd Suite 105, Baton Rouge LA 70806-7851. 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 Medical Center can be contacted via phone (225) 765-4361, or through Thomas, David E via phone (225) 765-3456.
Contact Information
Primary practice address
8415 Goodwood Blvd Suite 105
Baton Rouge LA 70806-7851
Phone: (225) 765-4361
Fax: (225) 765-4062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X |
Profile Details
| NPI number | 1235263724 |
|---|---|
| LBN Legal business name | Our Lady Of The Lake Regional Medical Center |
| DBA Doing business as | Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic Sleep Lab |
| Authorized official | Thomas, David E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1235263724 | NPPES |
| Louisiana | MEDICAID | 1445584 |
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