Our Lady of the Lake Plastic Clinic
NPI 1639360704ActiveOrganization· Plastic Surgery· Baton Rouge, LA
Plastic Surgery in Baton Rouge, Louisiana, registered in NPPES in August 2007, part of Our Lady of the Lake Hospital, Inc. The authorized official on file is Tamara D. White, Director Of Business Services.
Overview
| NPI | 1639360704 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Our Lady of the Lake Hospital, Inc. |
| NPI issued | Aug 5, 2007 |
| Last updated in NPPES | May 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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