OrganizationActive
Our Lady of the Lake Plastic Clinic
NPI 1639360704 · Plastic Surgery Physician · Baton Rouge, LA
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
Practice location
7777 Hennessy Blvd
Suite 709
Baton Rouge, LA 70808-4300
Phone: (225) 765-7731
Approximate (ZIP-level) locationGet directions
Mailing address
7777 Hennessy Blvd
Baton Rouge, LA 70808-4300
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.