Our Lady of the Lake Plastic Clinic
NPI 1639360704 · Plastic Surgery Physician · Baton Rouge, LA
Our Lady of the Lake Plastic Clinic is a Plastic Surgery Physician organization in Baton Rouge, LA (NPI 1639360704).
Provider details
- NPI number
- 1639360704
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Our Lady of the Lake Hospital, Inc.
- Organization subpart
- Yes
- Authorized official
- Tamara White, Director of Business Services(225) 765-4251
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Our Lady of the Lake Regional Medical Center
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2011-05-19
Frequently asked questions
- What is Our Lady of the Lake Plastic Clinic's NPI number?
- Our Lady of the Lake Plastic Clinic's National Provider Identifier (NPI) is 1639360704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Our Lady of the Lake Plastic Clinic?
- Our Lady of the Lake Plastic Clinic is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Our Lady of the Lake Plastic Clinic located?
- Our Lady of the Lake Plastic Clinic's practice location on file with NPPES is 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300.
- What is Our Lady of the Lake Plastic Clinic's phone number?
- The practice phone number listed in the NPPES registry for Our Lady of the Lake Plastic Clinic is (225) 765-7731.
- Who is the authorized official for Our Lady of the Lake Plastic Clinic?
- The authorized official listed on Our Lady of the Lake Plastic Clinic's NPPES record is Tamara White, Director of Business Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Our Lady of the Lake Plastic Clinic's NPI active?
- Yes — Our Lady of the Lake Plastic Clinic's NPI (1639360704) is active in the NPPES registry as of the last update on 2011-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.