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

Our Lady of the Lake Hospital, Inc

Organization Pediatric Emergency Medicine (Emergency Medicine) Physician · NPI 1093947905

Our Lady of the Lake Hospital, Inc is a Pediatric Emergency Medicine (Emergency Medicine) Physician in Baton Rouge, Louisiana. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone: (225) 765-7163
Fax: (225) 765-7164
Show map & directions

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

Specialties & licences

Pediatric Emergency Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PP0204X

Record details

NPI number1093947905
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of the Lake Hospital, Inc
Authorized official Jeffery Limbocker — Cfo · (225) 765-6306
Other names Pediatric Specialty Clinic
NPI enumeratedAugust 12, 2009
Last updated in NPPESApril 15, 2011
Mailing address8415 Goodwood Blvd, Ste 105, Baton Rouge, LA 70806-7851

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