Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Childrens Clinic of Raceland LLC

Organization Pediatrics Physician · NPI 1902009350

Childrens Clinic of Raceland LLC provides Pediatrics Physician services in Raceland, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Acadia Park Dr
Raceland, LA 70394-2618
Phone: (985) 537-8687
Fax: (985) 537-8976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 08233R (LA)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 08233R (LA)

Record details

NPI number1902009350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luisa Bacuta-Tagorda — Member Manager · (985) 537-8687
Other names Childrens Clinic Of Raceland; Childrens Clinic Of Raceland
NPI enumeratedJune 5, 2007
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing address110 Acadia Park Dr, Raceland, LA 70394-2618

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