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OUR LADY OF THE LAKE INC NPI 1093767246


NPI Information

NPI: 1093767246
Provider Name: OUR LADY OF THE LAKE INC

Doing Business As: HOSPITAL MEDICINE SERVICE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
5000 HENNESSY BLVD
HOSPITAL MEDICINE SERVICE
BATON ROUGE, LA
ZIP 70808
Phone: (225) 765-4050
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OUR LADY OF THE LAKE INC is an internal medicine in Baton Rouge, LA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. OUR LADY OF THE LAKE INC NPI is 1093767246. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hospital Medicine Service.

The provider's business location address is:

5000 HENNESSY BLVD
HOSPITAL MEDICINE SERVICE
BATON ROUGE, LA
ZIP 70808-375
Phone: (225) 765-4050
Fax: (225) 765-4046

The provider's authorized official is Tamara White .
The authorized official title is Director Of Business Services and has the following contact phone number (225) 765-4251.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 5/19/2011.


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
1207R00000XInternal MedicineYes

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
15CF34MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21445479MEDICAIDLOUISIANA

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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