# LOUISIANA STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUISIANA STATE UNIVERSITY
- **Other names:** Pennington Biomedical Research Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922566934
- **Legal business name:** LOUISIANA STATE UNIVERSITY
- **Authorized official:** GUY JOEL LAVERGNE (CFO/COO)
- **Authorized official phone:** (225) 763-3101

## Contact information

- **Practice address:** 6400 PERKINS RD, BATON ROUGE, LA 70808-0102
- **Practice address phone:** (225) 763-3101
- **Practice address fax:** (225) 763-3102
- **Mailing address:** 6400 PERKINS RD, BATON ROUGE, LA 70808-0102
- **Mailing address phone:** (225) 763-3101
- **Mailing address fax:** (225) 763-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/08/2019
- **Last updated:** 06/06/2025