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OUR LADY OF THE LAKE HOSPITAL INC NPI 1952355125


NPI Information

NPI: 1952355125
Provider Name: OUR LADY OF THE LAKE HOSPITAL INC

Doing Business As: PEDIATRIC SPECIALTY CLINIC

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
5000 HENNESSY BLVD
BATON ROUGE, LA
ZIP 70808
Phone: (225) 766-5204
Get Directions

OUR LADY OF THE LAKE HOSPITAL INC is a pediatric gastroenterology pediatrics in Baton Rouge, LA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. OUR LADY OF THE LAKE HOSPITAL INC NPI is 1952355125. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Specialty Clinic.

The provider's business location address is:

5000 HENNESSY BLVD
BATON ROUGE, LA
ZIP 70808-375
Phone: (225) 766-5204
Fax: (225) 765-4062

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 5/20/2006 and was last updated on 5/11/2011.


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
1207K00000XAllergy & ImmunologyNo
22080P0205XPediatricsPediatric EndocrinologyNo
3207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
42080P0210XPediatricsPediatric NephrologyNo
52080P0206XPediatricsPediatric GastroenterologyYes

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
108775372MEDICAIDMISSISSIPPI
25BD11MEDICARE PINLOUISIANA
31447129MEDICAIDLOUISIANA

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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