NPI 1639360704

Our Lady of the Lake Plastic Clinic

Organisation Plastic Surgery Physician Baton Rouge, LA

Practice location

Address: 7777 Hennessy Blvd Suite 709, Baton Rouge, LA 70808-4300
Phone: (225) 765-7731

Authorised official

Name: Tamara D White
Title: Director of Business Services
Phone: (225) 765-4251

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Louisiana →

Registry record

NPI: 1639360704
Entity type: Organization
NPI issued: 5 Aug 2007
Record last updated: 19 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.