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

Our Lady of the Lake Plastic Clinic

Organization Plastic Surgery Physician · NPI 1639360704

Our Lady of the Lake Plastic Clinic is a Plastic Surgery Physician in Baton Rouge, Louisiana. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

7777 Hennessy Blvd Ste 709
Baton Rouge, LA 70808-4300
Phone: (225) 765-7731
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1639360704
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of the Lake Hospital, Inc
Authorized official Tamara White — Director Of Business Services · (225) 765-4251
Other names Our Lady Of The Lake Regional Medical Center
NPI enumeratedAugust 5, 2007
Last updated in NPPESMay 19, 2011
Mailing address7777 Hennessy Blvd, Suite 709, Baton Rouge, LA 70808-4300

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