OrganizationActive
Our Lady of the Lake Regional Medica
NPI 1972645216 · Pediatric Pulmonology Physician · Baton Rouge, LA
Provider details
- NPI number
- 1972645216
- Entity type
- Organization
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tamara White, Director of Business Services(225) 765-4251
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7777 Hennessy Blvd
Plaza 1 Suite 406
Baton Rouge, LA 70810
Phone: (225) 765-3456
Fax: (225) 765-1899
Approximate (ZIP-level) locationGet directions
Mailing address
8415 Goodwood Blvd
Baton Rouge, LA 70806
Other names (DBA / former)
- Doing business as
- Our Lady of the Lake Hospital Inc Pediatric Pulmonary Clinic
Registry dates
- Enumerated
- 2007-02-13
- 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.