# HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL SERVICE 1 OF EAST BATON ROUGE PARISH
- **Other names:** Lane Regional Medical Center-Lane Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053538165
- **Legal business name:** HOSPITAL SERVICE 1 OF EAST BATON ROUGE PARISH
- **Authorized official:** FRANK A CORCORAN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (225) 658-4303

## Contact information

- **Practice address:** 2335 CHURCH ST STE B, ZACHARY, LA 70791-2700
- **Practice address phone:** (225) 654-3607
- **Practice address fax:** (225) 658-2262
- **Mailing address:** PO BOX 674924, DALLAS, TX 75267-4924
- **Mailing address phone:** (225) 658-4000
- **Mailing address fax:** (225) 658-4505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 07/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1445126 | — | LA |