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OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER NPI 1235263724


NPI Information

NPI: 1235263724
Provider Name: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER

Doing Business As: OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC SLEEP LAB

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
8415 GOODWOOD BLVD
SUITE 105
BATON ROUGE, LA
ZIP 70806
Phone: (225) 765-4361
Get Directions

OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER is a pediatric pulmonology pediatrics in Baton Rouge, LA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER NPI is 1235263724. 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 Hospital Inc Pediatric Pulmonary Clinic Sleep Lab.

The provider's business location address is:

8415 GOODWOOD BLVD
SUITE 105
BATON ROUGE, LA
ZIP 70806-851
Phone: (225) 765-4361
Fax: (225) 765-4062

The provider's authorized official is David E Thomas .
The authorized official title is Physician and has the following contact phone number (225) 765-3456.

The enumeration date for this NPI number is 3/15/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0214XPediatricsPediatric PulmonologyYes

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
11445584MEDICAIDLOUISIANA

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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