Organization · Type 2 NPI

Our Lady of the Lake Plastic Clinic

Plastic Surgery Physician · Baton Rouge, LA

NPI number 1639360704 Active

Practice location

7777 Hennessy Blvd, Suite 709
Baton Rouge, LA 70808-4300

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	None listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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NPI record

NPI: 1639360704
Entity type: Organization (Type 2)
Issued: Aug 5, 2007
Last updated: May 19, 2011
Status: Active
Subpart: Yes of Our Lady of the Lake Hospital, Inc.

Other names

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Our Lady of the Lake Regional Medical Center · doing business as

Authorized official

Mr. Tamara D White
Director of Business Services
(225) 765-4251

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About NPI 1639360704

Our Lady of the Lake Plastic Clinic's National Provider Identifier is 1639360704, issued on Aug 5, 2007. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Baton Rouge, LA. The record was last updated on May 19, 2011.