IndividualActive
Tyler Lasseigne
NPI 1679776454 · Prosthodontics · Baton Rouge, LA
Provider details
- NPI number
- 1679776454
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5574 (LA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
16645 Highland Rd Ste J
Baton Rouge, LA 70810-6567
Phone: (225) 214-0100
Fax: (225) 214-0103
Approximate (ZIP-level) locationGet directions
Mailing address
1109 Simon St
Vacherie, LA 70090-5331
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2015-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.