Organization · Type 2 NPI

Our Lady of the Lake Hospital Inc

Plastic and Reconstructive Surgery Physician · Baton Rouge, LA

NPI number 1326180696 Active

Practice location

7777 Hennessy Blvd, Plaza 1 Suite 306
Baton Rouge, LA 70808

Fax (225) 765-4062

Mailing address

8415 Goodwood Blvd, Suite 105
Baton Rouge, LA 70806

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1326180696

Our Lady of the Lake Hospital Inc's National Provider Identifier is 1326180696, issued on Feb 13, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Baton Rouge, LA. The record was last updated on Aug 22, 2020.