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NPI 1598766495

NPI 1598766495 : OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC : LAFAYETTE, LA

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General NPI Number Information
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    NPI Number           |    1598766495
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    Entity Type          |    Organization 
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    Legal Business Name  |    OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC 
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Dates
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    Enumeration Date     |    08/02/2005
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    4801 AMBASSADOR CAFFERY PKWY 
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70508-6917
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    Country              |    US
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    Telephone            |    337-470-2000
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    Fax                  |    337-289-2170
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Provider Business Mailing Address
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    Address Line         |    4801 AMBASSADOR CAFFERY PKWY 
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70508-6917
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    Country              |    US
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    Telephone            |    337-470-2000
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    Fax                  |    337-289-2170
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     STEPHANIE  MANSON 
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    Credential           |    
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    Telephone            |    337-470-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    LA
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