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

Laci Lafleur Theunissen, MD

Individual provider Dermatology Physician · NPI 1386783280

Laci Lafleur Theunissen, MD is a Dermatology in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2004, 22 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Iowa, Louisiana, Nebraska and Oklahoma.

Years since qualifying
22
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
IA, LA, NE, OK
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7855 Jefferson Hwy
Baton Rouge, LA 70809-1206
Phone: (225) 214-3199
Fax: (225) 214-8011
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD.204409 (LA)
Dermatology Physician Taxonomy 207N00000X · Licence 37739 (IA)
Dermatology Physician Taxonomy 207N00000X · Licence 24471 (OK)
Dermatology Physician Taxonomy 207N00000X · Licence 24598 (NE)

Record details

NPI number1386783280
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2004 (22 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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