OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC – NPI #1972645216
Pediatrics

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC is a provider located in BATON ROUGE, LA. NPPES has assigned the NPI number 1972645216 to OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC on February 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC” is a dba name, the actual legal business name for this organization is OUR LADY OF THE LAKE REGIONAL MEDICA. The primary taxonomy selected by this provider is 2080P0214X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Pulmonology

The NPI profile was previously updated about 15 years ago on May 19, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC below.

NPI Profile for
OUR LADY OF THE LAKE REGIONAL MEDICA

NPI Number
1972645216
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OUR LADY OF THE LAKE REGIONAL MEDICA
Doing Business As (dba): OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC
Primary location
7777 HENNESSY BLVD
PLAZA 1 SUITE 406
BATON ROUGE, LA 70810
Phone: (225) 765-3456 Fax: (225) 765-1899
Mailing address
8415 GOODWOOD BLVD
SUITE 105
BATON ROUGE, LA 70806
Phone: (225) 413-4361 Fax: (225) 765-4062
Organization Subpart
No
Authorized Official
TAMARA WHITE
DIRECTOR OF BUSINESS SERVICES
Phone: (225) 765-4251
Updated
Identifiers

Identifiers for OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1445584
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0214X
- Pediatrics / Pediatric Pulmonology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.