Organization
BATON ROUGE GENERAL DIABETES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA STARNS HOOGE MS, LDN, RD (DIABETES NUTRITION SPECIALIST)
(225) 387-7678
Entity
Organization
Contact information
Practice address
3910 CONVENTION ST, BATON ROUGE, LA 70806-3805
(225) 387-7678
(225) 387-7670
Mailing address
12670 SIMMS RD, DENHAM SPRINGS, LA 70706-0462
(225) 667-5307
(225) 387-7670
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5D071
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1878
LDN MEMBER #
LA
01
—
930875
CDR REGISTRATION ID #
LA
Enumeration date
03/15/2007
Last updated
08/22/2020
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