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OUR LADY OF THE LAKE HOSPITAL INC NPI 1053365759


NPI Information

NPI: 1053365759
Provider Name: OUR LADY OF THE LAKE HOSPITAL INC

Doing Business As: CHILD ASESSMENT CENTER

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
8415 GOODWOOD BLVD
STE 200
BATON ROUGE, LA
ZIP 70806
Phone: (225) 765-8674
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OUR LADY OF THE LAKE HOSPITAL INC is a pediatrics in Baton Rouge, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OUR LADY OF THE LAKE HOSPITAL INC NPI is 1053365759. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Child Asessment Center.

The provider's business location address is:

8415 GOODWOOD BLVD
STE 200
BATON ROUGE, LA
ZIP 70806-851
Phone: (225) 765-8674
Fax: (225) 765-4062

The provider's authorized official is Terrie P Sterling .
The authorized official title is Coo and has the following contact phone number (225) 765-6898.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC1900XPsychologistCounselingNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15DN46MEDICARE PINLOUISIANA
206828887MEDICAIDMISSISSIPPI
3=========0OTHERLOUISIANABLUE CROSS
41113069MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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