OrganizationActive
Childrens Clinic of Raceland LLC
NPI 1902009350 · Pediatrics Physician · Raceland, LA
Provider details
- NPI number
- 1902009350
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Luisa Bacuta-Tagorda, Member Manager(985) 537-8687
- License
- 08233R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
110 Acadia Park Dr
Raceland, LA 70394-2618
Phone: (985) 537-8687
Fax: (985) 537-8976
Approximate (ZIP-level) locationGet directions
Mailing address
110 Acadia Park Dr
Raceland, LA 70394-2618
Other names (DBA / former)
- Former legal business name
- Childrens Clinic of Raceland
- Former legal business name
- Childrens Clinic of Raceland
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2021-03-04
- Certified
- 2021-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.