Healthcare Provider Details

I. General information

NPI: 1992384465
Provider Name (Legal Business Name): ADAM VANDENLANGENBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2021
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 HENNESSY BLVD STE 4000
BATON ROUGE LA
70808-0306
US

IV. Provider business mailing address

17636 HERITAGE ESTATES DR
BATON ROUGE LA
70810-6579
US

V. Phone/Fax

Practice location:
  • Phone: 225-766-7441
  • Fax:
Mailing address:
  • Phone: 318-245-1584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number351153
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: