Clarissa Vitalina Reynoso Azuris, MD
Clarissa Vitalina Reynoso Azuris, MD is a Pediatric Medicine in Baton Rouge, Louisiana. Qualified in 2008, 18 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 18
- Licensed in
- LA
- In the registry since
- 2014
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
8415 Goodwood Blvd Ste 202Baton Rouge, LA 70806-7851
Phone: (225) 765-8013
Fax: (225) 765-2033
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 113 Liner Dr, Greenwood, SC 29646-2311 — (864) 941-8170
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 334001 (LA) |
|---|
Record details
| NPI number | 1669877908 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 29, 2014 |
| Last updated in NPPES | May 31, 2026 |
| Certification date | May 31, 2026 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Also practises | HOSPICE/PALLIATIVE CARE |
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Our Lady Of The Lake Physician Group Llc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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