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

Hospital Service District 1 of East Baton Rouge Parish

Organization Pediatrics Physician · NPI 1508380197

Hospital Service District 1 of East Baton Rouge Parish is a Pediatrics Physician in Zachary, Louisiana. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

6110 Main St Ste B
Zachary, LA 70791-4079
Phone: (225) 654-3607
Fax: (225) 658-2262
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1508380197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Corcoran — Chief Executive Officer · (225) 658-4303
Other names Lane Regional Medical Center-Lane Pediatrics Clinic
NPI enumeratedJuly 26, 2017
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address6300 Main St, Zachary, LA 70791-4037

Other providers in Zachary