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

Our Lady of the Lake Regional Medica

Organization Pediatric Pulmonology Physician · NPI 1972645216

Our Lady of the Lake Regional Medica is a Pediatric Pulmonology Physician in Baton Rouge, Louisiana. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

7777 Hennessy Blvd Plaza 1 Ste 406
Baton Rouge, LA 70810
Phone: (225) 765-3456
Fax: (225) 765-1899
Show map & directions

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

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X

Record details

NPI number1972645216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara White — Director Of Business Services · (225) 765-4251
Other names Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic
NPI enumeratedFebruary 13, 2007
Last updated in NPPESMay 19, 2011
Mailing address8415 Goodwood Blvd, Suite 105, Baton Rouge, LA 70806

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