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OUR LADY OF THE LAKE PLASTIC CLINIC NPI 1639360704


NPI Information

NPI: 1639360704
Provider Name: OUR LADY OF THE LAKE PLASTIC CLINIC

Doing Business As: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
7777 HENNESSY BLVD
SUITE 709
BATON ROUGE, LA
ZIP 70808
Phone: (225) 765-7731
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OUR LADY OF THE LAKE PLASTIC CLINIC is a plastic surgery in Baton Rouge, LA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. OUR LADY OF THE LAKE PLASTIC CLINIC NPI is 1639360704. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Our Lady Of The Lake Regional Medical Center.

The provider's business location address is:

7777 HENNESSY BLVD
SUITE 709
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 765-7731

The provider's authorized official is Tamara D 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 8/5/2007 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
1208200000XPlastic SurgeryYes

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
15CY70MEDICARE PINLOUISIANA

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

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