Provider Demographics
NPI:1942575691
Name:BATON ROUGE CLINIC HEMATOLOGY ONCOLOGY DEPT.
Entity Type:Organization
Organization Name:BATON ROUGE CLINIC HEMATOLOGY ONCOLOGY DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PISANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-246-9301
Mailing Address - Street 1:7373 PERKINS ROAD
Mailing Address - Street 2:ATTN: DEE / ADMINISTRATION
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4326
Mailing Address - Country:US
Mailing Address - Phone:225-246-9301
Mailing Address - Fax:
Practice Address - Street 1:8595 PICARDY AVENUE
Practice Address - Street 2:SUITE 400
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809
Practice Address - Country:US
Practice Address - Phone:225-767-0822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA57962Medicare PIN