OUR LADY OF THE LAKE HOSPITAL INC NPI 1326180696

NPI Information

NPI: 1326180696
Provider Name: OUR LADY OF THE LAKE HOSPITAL INC

Doing Business As: OLOL COMPREHENSIVE CHRONIC CARE CENTER

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
7777 HENNESSY BLVD
PLAZA 1 SUITE 306
BATON ROUGE, LA
ZIP 70808
Phone: (225) 765-4361
Get Directions

OUR LADY OF THE LAKE HOSPITAL INC is a plastic and reconstructive surgery surgery in Baton Rouge, LA. The provider is a surgeon who specializes in plastic and reconstructive surgery. OUR LADY OF THE LAKE HOSPITAL INC NPI is 1326180696. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Olol Comprehensive Chronic Care Center.

The provider's business location address is:

7777 HENNESSY BLVD
PLAZA 1 SUITE 306
BATON ROUGE, LA
ZIP 70808
Phone: (225) 765-4361
Fax: (225) 765-4062

The provider's authorized official is Robert C Davidge .
The authorized official title is Ceo and has the following contact phone number (225) 765-8802.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1150436	MEDICAID	LOUISIANA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »