OrganizationActive
Our Lady of the Lake Hospital Inc
NPI 1326180696 · Plastic and Reconstructive Surgery Physician · Baton Rouge, LA
Provider details
- NPI number
- 1326180696
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Davidge, Ceo(225) 765-8802
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7777 Hennessy Blvd
Plaza 1 Suite 306
Baton Rouge, LA 70808
Phone: (225) 765-4361
Fax: (225) 765-4062
Approximate (ZIP-level) locationGet directions
Mailing address
8415 Goodwood Blvd
Baton Rouge, LA 70806
Other names (DBA / former)
- Doing business as
- Olol Comprehensive Chronic Care Center
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.