Healthcare Provider Details

I. General information

NPI: 1457547234
Provider Name (Legal Business Name): SLEEP SOLUTIONS OF BATON ROUGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 05/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11606 SOUTHFORK DR. SUITE 401
BATON ROUGE LA
70816
US

IV. Provider business mailing address

PO BOX 699
MADISONVILLE LA
70447
US

V. Phone/Fax

Practice location:
  • Phone: 225-216-7557
  • Fax: 225-216-0595
Mailing address:
  • Phone: 985-875-7557
  • Fax: 985-875-0595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: THOMAS E. LAVIN
Title or Position: OFFICER/DIRECTOR
Credential: MD
Phone: 985-875-7557