Organization
LOUISIANA STATE UNIVERSITY
Active
Parent organization
LOUISIANA STATE UNIVERSITY
Other names
Pennington Biomedical Research Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA STATE UNIVERSITY
Authorized official
GUY JOEL LAVERGNE (CFO/COO)
(225) 763-3101
Entity
Organization
Contact information
Practice address
6400 PERKINS RD, BATON ROUGE, LA 70808-0102
(225) 763-3101
(225) 763-3102
Mailing address
6400 PERKINS RD, BATON ROUGE, LA 70808-0102
(225) 763-3101
(225) 763-3102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/08/2019
Last updated
06/06/2025
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