Provider Demographics
NPI:1013514850
Name:INDUSTRIAL CENTER OF BATON ROUGE
Entity Type:Organization
Organization Name:INDUSTRIAL CENTER OF BATON ROUGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEOFFERY
Authorized Official - Middle Name:LUKE
Authorized Official - Last Name:LEJEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-383-5021
Mailing Address - Street 1:160 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-5600
Mailing Address - Country:US
Mailing Address - Phone:225-383-5021
Mailing Address - Fax:225-383-5023
Practice Address - Street 1:16645 HIGHLAND RD STE L
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-6567
Practice Address - Country:US
Practice Address - Phone:225-756-2722
Practice Address - Fax:225-756-4431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty