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PEDIATRIC SURGERY OF LOUISIANA LLC NPI 1548309156


NPI Information

NPI: 1548309156
Provider Name: PEDIATRIC SURGERY OF LOUISIANA, LLC
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
7777 HENNESSY BLVD
SUITE 212
BATON ROUGE, LA
ZIP 70808
Phone: (225) 769-2295
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PEDIATRIC SURGERY OF LOUISIANA, LLC is a pediatric surgery surgery in Baton Rouge, LA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PEDIATRIC SURGERY OF LOUISIANA, LLC NPI is 1548309156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7777 HENNESSY BLVD
SUITE 212
BATON ROUGE, LA
ZIP 70808
Phone: (225) 769-2295
Fax: (225) 769-2297

The provider's authorized official is Faith Hansbrough .
The authorized official title is Physician and has the following contact phone number (225) 769-2295.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 1/16/2014.


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
12086S0120XSurgeryPediatric 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
11442534MEDICAIDLOUISIANA

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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