Healthcare Provider Details

I. General information

NPI: 1902972375
Provider Name (Legal Business Name): LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 N 4TH ST
BATON ROUGE LA
70802-5342
US

IV. Provider business mailing address

628 N 4TH ST
BATON ROUGE LA
70802-5342
US

V. Phone/Fax

Practice location:
  • Phone: 225-342-8064
  • Fax: 225-342-8312
Mailing address:
  • Phone: 225-342-8064
  • Fax: 225-342-8312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateLA

VIII. Authorized Official

Name: SARA TRAHAN
Title or Position: DEPUTY NUTRITION OPERATIONS MANAGER
Credential:
Phone: 225-219-2183