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

Hospital Service District 1 of East Baton Rouge Parish

Organization Pediatrics Physician · NPI 1508380197

Hospital Service District 1 of East Baton Rouge Parish provides Pediatrics Physician services in Zachary, Louisiana. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

6110 Main St Ste B
Zachary, LA 70791-4079
Phone: (225) 654-3607
Fax: (225) 658-2262
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1508380197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Corcoran — Chief Executive Officer · (225) 658-4303
Other names Lane Regional Medical Center-Lane Pediatrics Clinic
NPI enumeratedJuly 26, 2017
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address6300 Main St, Zachary, LA 70791-4037

Other providers in Zachary