Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Childrens Clinic of Raceland LLC

Organization Pediatrics Physician · NPI 1902009350

Childrens Clinic of Raceland LLC is a Pediatrics Physician in Raceland, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Acadia Park Dr
Raceland, LA 70394-2618
Phone: (985) 537-8687
Fax: (985) 537-8976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 08233R (LA)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 08233R (LA)

Record details

NPI number1902009350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luisa Bacuta-Tagorda — Member Manager · (985) 537-8687
Other names Childrens Clinic Of Raceland; Childrens Clinic Of Raceland
NPI enumeratedJune 5, 2007
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing address110 Acadia Park Dr, Raceland, LA 70394-2618

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