Provider Demographics
NPI:1053502872
Name:HAUCK, ERIN RANTZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:RANTZ
Last Name:HAUCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ELISABETH
Other - Last Name:RANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7777 HENNESSY BLVD SUITE 103
Mailing Address - Street 2:PEDIATRIC HOSPITALISTS OF LA
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808
Mailing Address - Country:US
Mailing Address - Phone:225-767-6700
Mailing Address - Fax:225-767-6721
Practice Address - Street 1:7777 HENNESSY BLVD SUITE 103
Practice Address - Street 2:PEDIATRIC HOSPITALIST OF LA
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-767-6700
Practice Address - Fax:225-767-6721
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2006882080P0203X, 208000000X
LAMD.2006882080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA200688OtherMEDICAL LICENSE
LA1073822Medicaid