Healthcare Provider Details

I. General information

NPI: 1235871674
Provider Name (Legal Business Name): LAUREN EMILY TRIAY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 PLAZA ST STE 1A
BOGALUSA LA
70427-3729
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 985-730-6970
  • Fax: 985-730-6398
Mailing address:
  • Phone: 985-730-6970
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number352128
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number011618
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: